413 Ogden Clinic LLC

NPI #1164014908 in Ogden, Utah

Provider Information

NPI Number
1164014908
Entity Type
Organization
Organization Name
413 Ogden Clinic LLC
Primary Specialty
Chiropractor - Rehabilitation
Enumeration Date
Feb 3, 2021
Last Updated
Feb 3, 2021

Practice Location

Address
413 WASHINGTON BLVD
City
Ogden
State
Utah
ZIP Code
84404-6320
Phone
(385) 238-4123

Authorized Official

Name
DR. RODOLFO MARTINEZ-FERRATE, MD
Title
MEDICAL DIRECTOR
Phone
(801) 651-4283

Specialties & Taxonomy Codes

Specialty
Chiropractor - RehabilitationRehabilitation

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