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1265694509
MOUNTAINSTAR OGDEN PEDIATRICS LLC
OGDEN, UT
NPI
1265694509
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Entity Type
Organization
Authorized Contact
LOUIS JOSEPH
VP
615-373-7630
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2008-06-27
Last Update Date
2023-08-29
Business Address
MOUNTAINSTAR OGDEN PEDIATRICS LLC
5495 S 500 E SUITE 120
OGDEN, UT 84405-6923
Phone number: 801-479-0174
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Mailing Address
MOUNTAINSTAR OGDEN PEDIATRICS LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4525
Phone number: 615-373-7406
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