IndividualActive
Benjamin Fogg, MD
NPI 1104320902 · Family Medicine Physician · Heber City, UT
Provider details
- NPI number
- 1104320902
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11336500-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1776 N Highway 40, Ste 101
Heber City, UT 84032
Phone: (435) 294-2664
Fax: (801) 274-0049
Approximate (ZIP-level) locationGet directions
Mailing address
1776 N Hwy 40, Ste 101
Heber City, UT 84032
Registry dates
- Enumerated
- 2018-03-19
- Last updated
- 2025-10-07
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.