Organization · Type 2 NPI
Wasatch Functional Medicine
Clinic/Center · South Ogden, UT
NPI number
1396499414
Active
Practice location
5711 S 1475 E Ste 201
South Ogden, UT 84403-5185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Clinic/Center: 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).
2 other providers at this address
Other clinic/center providers in South Ogden
About NPI 1396499414
Wasatch Functional Medicine's National Provider Identifier is 1396499414, issued on Feb 8, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in South Ogden, UT. The record was last updated on Feb 8, 2022.