| Opm | |
|
3860 Jackson Ave Ste 7 Ogden UT 84403-1979 | |
| (801) 664-9501 | |
| Not Available |
| Full Name | Opm |
|---|---|
| Speciality | Family Medicine |
| Location | 3860 Jackson Ave Ste 7, Ogden, Utah |
| Authorized Official Name and Position | Tyson S. Oakey (OWNER) |
| Authorized Official Contact | 8016681967 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opm 3860 Jackson Ave Ste 7 Ogden UT 84403-1979 Ph: (801) 664-9501 | Opm 3860 Jackson Ave Ste 7 Ogden UT 84403-1979 Ph: (801) 664-9501 |
| NPI Number | 1578946737 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 7315248325 |
|---|---|
| Medicare Enrollment ID | O20151216002276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578946737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2854334405 (Utah) | Primary |
| Provider Name | Tyson S Oakey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235531500 PECOS PAC ID: 2961724687 Enrollment ID: I20141209001063 |
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