NICKOLAS GANGWER

OGDEN, UT
NPI1942610993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: UT  10280090-1204)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-04-29
Last Update Date2018-03-17
Business Address
NICKOLAS GANGWER D.O.
4403 HARRISON BLVD STE 3875
OGDEN, UT 84403-3332
Phone number: 801-387-7950
Mailing Address
NICKOLAS GANGWER D.O.
4403 HARRISON BLVD STE 3875
OGDEN, UT 84403-3332
Phone number: