Grace M O'brien DO

NPI 1093702003 - Family Medicine - 207Q00000X

NPI Details
NPI 1093702003
Gender Female
Enumeration Date 10/04/2005
Last Updated 03/04/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
6112 S 1550 E
SOUTH OGDEN UT, 84405-5007, US
Phone (801) 475-3800
Fax (801) 475-3801
Business Location
4650 HARRISON BLVD
OGDEN UT, 84403-4303, US
Phone (801) 475-3000
Fax (801) 475-3414
Toxanomy
Taxonomy Code 207Q00000X
License State Utah
License Number 180186-1204
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According to our database, Dr. Grace M O'brien DO NPI is 1093702003, taxonomy code is 207Q00000X and license number is 180186-1204, license state is located at Utah. Grace M O'brien DO physically located at 6112 S 1550 E, South Ogden UT, 84405-5007. NPI Number Grace M O'brien DO has the Individual type.

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1093702003 NPI number is provided on an as is basis without warranty of any kind. 1093702003 is maintained by the National Plan & Provider Enumeration System. The contents of Grace M O'brien DO are for informational purposes only.