Dr. Jack D Wahlen
Endocrinologist (Diabetes Doctor)
4403 Harrison Blvd Ste 3630
Ogden
, Utah 84403-3271
Dr. Jack D Wahlen
Endocrinologist (Diabetes Doctor)
4403 Harrison Blvd Ste 3630
Ogden
, Utah 84403-3271
(801) 387-7910
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Jack D Wahlen
- Po Box 27128
- Salt Lake City, UT
- Zip : 84127-0128
- Fax : (801) 387-7910
- Phone : (801) 387-7900
Second Address
- Dr. Jack D Wahlen
- 4403 Harrison Blvd Ste 3630
- Ogden, UT
- Zip : 84403-3271
- Fax : (801) 387-7910
- Phone : (801) 387-7900
Reviews
FAQs
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Is Dr. Jack D Wahlen a sole practitioner?
Is Dr. Jack D Wahlen accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 791639051205 | UT |
National Provider Identifier
| NPI | 1033143508 |
|---|---|
| Provider Name | Dr. Jack D Wahlen |
| First Address | Salt Lake City, UT 84127-0128 |
| Second Address | Ogden, UT 84403-3271 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 26/02/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C63387 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.