Susan Jespersen Agres DPM

NPI 1053560789 - Podiatrist - 213ES0131X

NPI Details
NPI 1053560789
Gender Female
Enumeration Date 09/18/2008
Last Updated 07/30/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
OGDEN UT, 84405-6748, US
Phone (801) 430-8406
Business Location
1322 32ND ST
OGDEN UT, 84403-0902, US
Phone (801) 430-8406
Fax (801) 393-6092
Taxonomy Code 213ES0131X
License State New York
License Number N004009
Remove 1053560789 NPI Number

According to our database, Dr. Susan Jespersen Agres DPM NPI is 1053560789, taxonomy code is 213ES0131X and license number is N004009, license state is located at New York. Susan Jespersen Agres DPM physically located at 5275 Adams Ave Pkwy, Ogden UT, 84405-6748. NPI Number Susan Jespersen Agres DPM has the Individual type.

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1053560789 NPI number is provided on an as is basis without warranty of any kind. 1053560789 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Jespersen Agres DPM are for informational purposes only.