Individual
DR. PHILIP JIRICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-7233
(801) 786-7778
Mailing address
5375 SHOSHONE CIRCLE, OGDEN, UT 84403
(801) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
6283141-1205
UT
Other
Enumeration date
05/05/2007
Last updated
01/13/2009
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