| Walter E Brodis Pllc | |
|
1893 E Skyline Dr Ogden UT 84403-5218 | |
| (801) 721-4587 | |
| Not Available |
| Full Name | Walter E Brodis Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1893 E Skyline Dr, Ogden, Utah |
| Authorized Official Name and Position | Walter E Brodis (OWNER) |
| Authorized Official Contact | 8017214587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter E Brodis Pllc 1893 E Skyline Dr Ogden UT 84403-5218 Ph: (801) 721-4587 | Walter E Brodis Pllc 1893 E Skyline Dr Ogden UT 84403-5218 Ph: (801) 721-4587 |
| NPI Number | 1073384814 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 01/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073384814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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