| South Ogden Clinic | |
|
975 Chambers St South Ogden UT 84403-4591 | |
| (801) 387-6200 | |
| Not Available |
| Full Name | South Ogden Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 975 Chambers St, South Ogden, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Ogden Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 387-6200 | South Ogden Clinic 975 Chambers St South Ogden UT 84403-4591 Ph: (801) 387-6200 |
| NPI Number | 1922143643 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 07/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922143643 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 204 (Utah) | Primary |
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