Mkdh Porter Fm-chc | |
4403 Harrison Blvd Ste 2400 Ogden UT 84403-3271 | |
(801) 387-5300 | |
(801) 387-5333 |
Full Name | Mkdh Porter Fm-chc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 4403 Harrison Blvd, Ogden, Utah |
Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
Authorized Official Contact | 8014421425 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mkdh Porter Fm-chc Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Mkdh Porter Fm-chc 4403 Harrison Blvd Ste 2400 Ogden UT 84403-3271 Ph: (801) 387-5300 |
NPI Number | 1073848966 |
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Provider Enumeration Date | 10/09/2009 |
Last Update Date | 10/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073848966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Wasatch Rpm Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5825 Harrison Blvd, Ogden, UT 84403 Phone: 801-475-5254 Fax: 801-797-0278 | |
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