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RIDGELINE ENDOSCOPY CENTER L.C.

Surgery Yellow Pages

South Ogden, Utah

Provider NPI: 1154304749

Organization Information:
Organization Name:  RIDGELINE ENDOSCOPY CENTER L.C.


Practice Location:
6028 S RIDGELINE DR SUITE 100 SOUTH OGDEN, UT 84405 US
Tel: 801-475-4988  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
UT2004-ASF-9993

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE4900466601
876047546005UT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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