| NPI | 1114203668 |
|---|---|
| Doing Business As | OGDEN CLINIC PC |
| Entity Type | Organization |
| Authorized Contact | CHAD TINGEY Board President 801-475-3481 |
| 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 | 2024-06-04 |