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Benjamin Reed Fogg, MD
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1104320902

Benjamin Reed Fogg is a Student in an Organized Health Care Education/Training Program based in Provo, UT. Benjamin Reed Fogg practices in Provo, UT and has the professional credentials of MD. The NPI Number for Benjamin Reed Fogg is 1104320902 and holds a License No. 11336500-1205 (Utah).

The current practice location address for Benjamin Reed Fogg is 475 W 940 N, Provo, UT and can be reached out via phone at 801-357-7686.

Location: 475 W 940 N, Provo, UT, 84604-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104320902
Provider Name
Benjamin Reed Fogg
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
475 W 940 N, Provo, UT, 84604-3301
Phone Number
801-357-7686
Fax Number
Provider Enumeration Date
03/19/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
475 W 940 N
City
Provo
State
Utah
Zip
84604-3301
Phone Number
801-357-7686
Fax Number
person
Provider Business Mailing Address Details
Address
475 W 940 N
City
Provo
State
Utah
Zip
84604-3301
Phone Number
801-357-7686
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11336500-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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