JACK D WAHLEN

OGDEN, UT
NPI1033143508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: UT  791639051205)
Enumeration Date2006-07-10
Last Update Date2008-02-26
Business Address
Dr. JACK D WAHLEN M.D.
4403 HARRISON BLVD STE 3630
OGDEN, UT 84403-3271
Phone number: 801-387-7900
Mailing Address
Dr. JACK D WAHLEN M.D.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number: 801-387-7900