Organization
BENJAMIN J KROGH DO PC
Active
Other names
Grantsville Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN J KROGH D.O. (PRESIDENT)
(435) 884-3582
Entity
Organization
Contact information
Practice address
822 EAST MAIN STREET, #7, GRANTSVILLE, UT 84029
(435) 884-3582
(435) 884-3578
Mailing address
822 EAST MAIN STREET, #7, GRANTSVILLE, UT 84029
(435) 884-3582
(435) 884-3578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8502
UT
Other
Enumeration date
10/02/2006
Last updated
10/14/2009
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