Healthcare Provider Details

I. General information

NPI: 1457596801
Provider Name (Legal Business Name): OGDEN PULMONARY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5957 FASHION POINT DR STE 103
OGDEN UT
84403-5180
US

IV. Provider business mailing address

PO BOX 150627
OGDEN UT
84415-0627
US

V. Phone/Fax

Practice location:
  • Phone: 385-492-4930
  • Fax: 385-492-4449
Mailing address:
  • Phone: 385-492-4930
  • Fax: 385-492-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number163985-1205
License Number StateUT

VIII. Authorized Official

Name: GURJEET S GROVER
Title or Position: PRESIDENT
Credential: MD
Phone: 801-791-7798