| Mkdh Porter Fm-chc | |
|
4403 Harrison Blvd Ste 2400 Ogden UT 84403-3271 | |
| (801) 387-5300 | |
| (801) 387-5333 |
| Full Name | Mkdh Porter Fm-chc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4403 Harrison Blvd, Ogden, Utah |
| Authorized Official Name and Position | Kelly J Howard (DIRECTOR) |
| Authorized Official Contact | 8014421425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkdh Porter Fm-chc Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Mkdh Porter Fm-chc 4403 Harrison Blvd Ste 2400 Ogden UT 84403-3271 Ph: (801) 387-5300 |
| NPI Number | 1073848966 |
|---|---|
| Provider Enumeration Date | 10/09/2009 |
| Last Update Date | 10/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073848966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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