WASATCH FUNCTIONAL MEDICINE NPI 1396499414

NPI Information

WASATCH FUNCTIONAL MEDICINE is a clinic center in South Ogden, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WASATCH FUNCTIONAL MEDICINE NPI is 1396499414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5711 S 1475 E STE 201
SOUTH OGDEN, UT
ZIP 84403-185
Phone: (801) 332-9034

The provider's authorized official is Catherine Kelly Pierce .
The authorized official title is Owner/nurse Practitioner and has the following contact phone number (801) 332-9034.

The enumeration date for this NPI number is 2/8/2022 and was last updated on 2/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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