ETHAN PATRICK BAHAM

OGDEN, UT
NPI1740635556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  11217835-1204)
Enumeration Date2016-04-29
Last Update Date2026-03-25
Business Address
ETHAN PATRICK BAHAM DO
4403 HARRISON BLVD STE 700A
OGDEN, UT 84403-3295
Phone number: 801-387-5300
Mailing Address
ETHAN PATRICK BAHAM DO
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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