Mmps Ogden

NPI #1083654016 in Ogden, Utah

Provider Information

NPI Number: 1083654016
Entity Type: Organization
Organization Name: Mmps Ogden
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jun 7, 2006
Last Updated: Feb 15, 2017

Practice Location

Address: 1485 E SKYLINE DR
City: Ogden
State: Utah
ZIP Code: 84405-4837
Phone: (801) 475-4552

Authorized Official

Name: MRS. JULIE PENROD, CEO
Title: CEO
Phone: (801) 284-1705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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