Mmps Ogden | |
1485 E Skyline Dr Ogden UT 84405-4837 | |
(801) 475-4552 | |
(801) 475-4578 |
Full Name | Mmps Ogden |
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Speciality | Clinic/center - Radiology |
Location | 1485 E Skyline Dr, Ogden, Utah |
Authorized Official Name and Position | Julie Penrod (CEO) |
Authorized Official Contact | 8012841705 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mmps Ogden 1485 E Skyline Dr Ogden UT 84405-4837 Ph: (801) 475-4552 | Mmps Ogden 1485 E Skyline Dr Ogden UT 84405-4837 Ph: (801) 475-4552 |
NPI Number | 1083654016 |
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Provider Enumeration Date | 06/07/2006 |
Last Update Date | 02/15/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083654016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 5032435-0160 (Utah) | Secondary |
261QR0200X | Clinic/center - Radiology | 5032435-0160 (Utah) | 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 | |
Weber State University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 University Cir, Ogden, UT 84408 Phone: 972-367-4845 Fax: 972-367-3451 | |
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