EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION
Managed Care Organizations at 100, Carbonville, UT

License number
Utah 1612038905
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: EDWARD K MADSEN
Title: EMPLOYER
Phone: (435) 637-7551
Address
Address
590 E 100 N STE 4, Carbonville, UT 84501
National Provider ID: 1265677678
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EDWARD K. MADSEN, M.D., A PROFESSIONAL CORPORATION

590 E 1 N, Price, UT 84501

Registration:
Nov 7, 1978
State ID:
707548-0144
Business type:
Corporation - Professional
Agent:
Edward K Madsen,590 E 100 N, Price, UT 84501 (Physical)

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