NPI | 1114203668 |
---|---|
Doing Business As | OGDEN CLINIC PC |
Entity Type | Organization |
Authorized Contact | DAVID COPE Board President 801-475-3482 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: UT 5776572-1206) |
Enumeration Date | 2011-10-28 |
Last Update Date | 2024-11-26 |