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NPI Verification

National Provider Identifier: 1033143508

Jack D Wahlen, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

4403 HARRISON BLVD

STE 3630

OGDEN, UT 844033271

Phone: 801-387-7900

NPI Enumeration Date

July 10, 2006

NPI Number

1033143508

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry