| Susan C Hustad MD, PC | |
|
425 E 5350 S Ste 335 Ogden UT 84405-6946 | |
| (801) 475-8600 | |
| (801) 475-8686 |
| Full Name | Susan C Hustad MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 E 5350 S, Ogden, Utah |
| Authorized Official Name and Position | Susan C Hustad (PRESIDENT) |
| Authorized Official Contact | 8014758600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan C Hustad MD, PC 425 E 5350 S Ste 335 Ogden UT 84405-6946 Ph: (801) 475-8600 | Susan C Hustad MD, PC 425 E 5350 S Ste 335 Ogden UT 84405-6946 Ph: (801) 475-8600 |
| NPI Number | 1447470893 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447470893 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 377470-1205 (Utah) | Primary |
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