NPI 1033143508

Jack D Wahlen, MD

Practitioner Endocrinology, Diabetes & Metabolism Physician Ogden, UT

Practice location

Address: 4403 Harrison Blvd STE 3630, Ogden, UT 84403-3271
Phone: (801) 387-7900
Fax: (801) 387-7910
Mailing address: PO Box 27128, Salt Lake City, UT 84127-0128

Registered specialties

Endocrinology, Diabetes & Metabolism Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RE0101X Licence 791639051205 (UT)

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Registry record

NPI: 1033143508
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2006
Record last updated: 26 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.