Fjm Ogden

NPI #1104208412 in Ogden, Utah

Provider Information

NPI Number
1104208412
Entity Type
Organization
Organization Name
Fjm Ogden
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jun 23, 2015
Last Updated
Jan 30, 2020

Practice Location

Address
1104 COUNTRY HILLS DR
Address 2
SUITE 110
City
Ogden
State
Utah
ZIP Code
84403-2400
Phone
(801) 624-1633

Authorized Official

Name
DARCE LATSIS
Title
PROGRAM MANAGER
Phone
(801) 441-1002

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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