Walter E Brodis PLLC

Clinic/Center · Ogden, UT

Organization Active NPI

NPI number 1073384814

Practice location

1893 E Skyline Dr
Ogden, UT 84403-5218
Phone
(801) 721-4587

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NPI record

NPI
1073384814
Entity type
Organization (Type 2)
Enumeration date
January 10, 2024
Last updated
January 10, 2024
Certified
January 10, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinic/Center Primary 261Q00000X — —
Internal Medicine Physician 207R00000X — —

Authorized official

Name
Walter E Brodis, MD
Title
Owner
Phone
(801) 721-4587

About Walter E Brodis PLLC

Walter E Brodis PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinic/Center (code 261Q00000X). The practice location is 1893 E Skyline Dr, Ogden, UT 84403-5218. The NPI number 1073384814 was assigned on January 10, 2024 and the record was last updated on January 10, 2024.

The authorized official for this organization is Walter E Brodis, MD, Owner.

Frequently asked questions

What is the NPI number of Walter E Brodis PLLC?

The NPI number is 1073384814.

What is the phone number of Walter E Brodis PLLC?

The phone number listed for the practice location is (801) 721-4587.

Where is Walter E Brodis PLLC located?

1893 E Skyline Dr, Ogden, UT 84403-5218.

What is the taxonomy code for Walter E Brodis PLLC?

The primary taxonomy code is 261Q00000X – Clinic/Center; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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