Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Weber State University

Organization Family Medicine Physician · NPI 1053702431

Weber State University is a Family Medicine Physician in Ogden, Utah. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

1001 University Cir
Ogden, UT 84408-5525
Phone: (972) 367-4845
Fax: (972) 367-3451
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1053702431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
NPI enumeratedFebruary 6, 2015
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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