MOUNT OGDEN PAIN MEDICAL CENTER

PROVIDENCE, UT
NPI1487863353
Entity TypeOrganization
Authorized ContactCINDIE G DODENBIER
President
435-755-9174
Organization Subpart ?No
Primary Taxonomy208VP0000X 
(Licence: UT  5306448-1205)
Enumeration Date2007-05-21
Last Update Date2007-08-22
Business Address
MOUNT OGDEN PAIN MEDICAL CENTER
286 N GATEWAY DR STE A
PROVIDENCE, UT 84332-9733
Phone number: 435-755-9174
Mailing Address
MOUNT OGDEN PAIN MEDICAL CENTER
4520 S 900 W # 324
RIVERDALE, UT 84405-7155
Phone number: 435-753-1600
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