Brookstar Knee Clinic, LLC.
Organization Active NPI Specialist · Ogden, UT
NPI 1689085532 · NPPES record last updated Jul 23, 2014
Key facts
- NPI
- 1689085532
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 168999-1205 (UT)
- Legal business name
- BROOKSTAR KNEE CLINIC, LLC.
- Practice address
- 3500 Harrison Blvd
Suite 200
Ogden, UT 84403-2058 - Phone
- (801) 668-2010
- Fax
- (801) 627-2228
- NPI assigned
- May 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Gailen E. Lundell, DC
- Title
- President
- Phone
- (801) 668-2010
Practitioners 1
-
Gailen Eric Lundell, D.C.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 168999-1205 | UT | Yes |
Addresses
Primary practice location
3500 Harrison Blvd
Suite 200
Ogden, UT 84403-2058
Mailing address
3500 Harrison Blvd
Suite 200
Ogden, UT 84403
Phone (801) 668-2010
Other names
- Brookstar Knee Clinic
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.