Unknown Individual – Physician Assistant, NPI 1447248596
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12th Street, Ogden, Weber County, Utah, 84401, United States
OGDEN, UT 844045144
Phone: (801) 344-3000
Fax: (801) 476-2670
Type: Location
Ogden Clinic, 4650, Harrison Boulevard, Ogden, Weber County, Utah, 84408, United States
OGDEN, UT 844034303
Phone: (801) 479-4621
Fax: (801) 476-2670
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84404)
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