Braken Wooden, D.c. | |
1893 E Skyline Dr Ste 204, Ogden, UT 84403-5228 | |
(801) 621-1667 | |
(801) 605-3807 |
Full Name | Braken Wooden, D.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1893 E Skyline Dr Ste 204, Ogden, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669005419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Braken C Wooden |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841842077 PECOS PAC ID: 9739510041 Enrollment ID: I20200520001401 |
Mailing Address | Practice Location Address |
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Braken Wooden, D.c. 1893 E Skyline Dr Ste 204, Ogden, UT 84403-5228 Ph: (801) 621-1667 | Braken Wooden, D.c. 1893 E Skyline Dr Ste 204, Ogden, UT 84403-5228 Ph: (801) 621-1667 |
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