Dr OWEN BENNETT GINOCCHIO is a male medical professional, specializing in Physician Assistant. He graduated in 2006.
IHC HEALTH SERVICES INC
2075 N 1200
LAYTON
UT
840411611
Tel: 8017796200
| Npi | 1568669158 |
| Pac Id | 9830253814 |
| Professional Enrollment Id | I20090206000100 |
| Last Name | GINOCCHIO |
| First Name | OWEN |
| Middle Name | BENNETT |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2006 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | IHC HEALTH SERVICES INC |
| Group Practice Pac Id | 1850209420 |
| Number Of Group Practice Members | 2274 |
| Line 1 Street Address | 2075 N 1200 |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAYTON |
| State | UT |
| Zip Code | 840411611 |
| Phone Number | 8017796200 |
| Hospital Affiliation Ccn 1 | 460021 |
| Hospital Affiliation Lbn 1 | DIXIE REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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