IndividualActive
Allan Edson, DO
NPI 1508811092 · Family Medicine Physician · Bountiful, UT
Provider details
- NPI number
- 1508811092
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 349532-1204 (UT)
Practice location
425 Medical Dr
Suite 207
Bountiful, UT 84010-4945
Phone: (801) 294-5224
Fax: (801) 294-5269
Mailing address
425 Medical Dr
Bountiful, UT 84010-4945
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2012-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.