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Contact Information

OGDEN CLINIC SPECIALTY SERVICES LLC
4650 HARRISON BLVD
OGDEN, UT84403-4303
 Phone: 801-475-3000
 Fax: 801-475-3494
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Clinical Neuropsychologist

103G00000X
 

Dermatology

207N00000X 07 Physician/Dermatology
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Podiatrist

213E00000X 48 Podiatry
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for OGDEN CLINIC SPECIALTY SERVICES LLC · (Female)

NPI Number 1114203668
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2011
Last updated 04/29/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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