Ashdown Surgical Pc

NPI 1053303990 - Surgery - 208600000X

NPI Details
NPI 1053303990
Enumeration Date 08/17/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name JAN MICHAEL JAN
Position PRESIDENT
Phone (435) 723-1114
Fax (435) 723-1173
Practice Location
950 S 500 W
#104
BRIGHAM CITY UT, 84302-4724, US
Phone (435) 723-1114
Fax (435) 723-1173
Business Location
950 S 500 W
#104
BRIGHAM CITY UT, 84302-4724, US
Phone (435) 723-1114
Fax (435) 723-1173
Toxanomy
Taxonomy Code 208600000X
License State Utah
License Number =========
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According to our database, Ashdown Surgical Pc NPI is 1053303990, taxonomy code is 208600000X and license number is =========, license state is located at Utah. Ashdown Surgical Pc physically located at 950 S 500 W, Brigham City UT, 84302-4724. NPI Number 1033115704 has the healthcare provider type.

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1053303990 NPI number is provided on an as is basis without warranty of any kind. 1053303990 is maintained by the National Plan & Provider Enumeration System. The contents of Ashdown Surgical Pc are for informational purposes only.