| Wyatt Hoch, MD | |
|
4650 Harrison Blvd, Ogden, UT 84403-4303 | |
| (801) 475-3175 | |
| Not Available |
| Full Name | Wyatt Hoch |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4650 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295224251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 14025089-1205 (Utah) | Primary |
| Entity Name | Ogden Clinic Specialty Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114203668 PECOS PAC ID: 1658781422 Enrollment ID: O20201105001806 |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt Hoch, MD Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500 | Wyatt Hoch, MD 4650 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3175 |
Mr. Lee Jeppson Malan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd, Suite U1, Ogden, UT 84403 Phone: 801-621-3591 Fax: 801-393-0836 | |
Dr. Joseph E Hansler, Surgery Medicare: Accepting Medicare Assignments Practice Location: 4403 Harrison Blvd, Suite 1635, Ogden, UT 84403 Phone: 801-387-7450 | |
Dr. Brian Craig Adams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd, Suite 100, Ogden, UT 84403 Phone: 801-387-8900 Fax: 801-387-8920 | |
Faheem Akhtar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3903 Harrison Blvd., Suite 100, Ogden, UT 84403 Phone: 801-387-8900 Fax: 801-387-8920 | |
Dr. Lyle H Archibald, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd Ste 1635, Ogden, UT 84403 Phone: 801-387-7450 | |
Lauren Gorton, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd Ste 2600, Ogden, UT 84403 Phone: 801-378-7450 |