Chad Logan Martinez, DO | |
1400 N 500 E, Logan, UT 84341-2455 | |
(435) 716-1920 | |
Not Available |
Full Name | Chad Logan Martinez |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1400 N 500 E, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689137143 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 12981265-1204 (Utah) | Primary |
Entity Name | Ihc Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 |
Mailing Address | Practice Location Address |
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Chad Logan Martinez, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1920 | Chad Logan Martinez, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1920 |
Ernest Brett Horsley, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Dr. Francis Neal Mortenson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1141 Fox Farm Rd, Logan, UT 84321 Phone: 435-753-0870 Fax: 435-753-0870 | |
Kimberly D Mcculloch, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
James P Benedict, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
Mrs. Anne Sadler Blackett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341 Phone: 435-753-9999 | |
David A Kirkman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 No 600e, #102, Logan, UT 84341 Phone: 435-753-9999 Fax: 435-753-2301 | |
Dr. Jon W Ahlstrom, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N, Suite I, Logan, UT 84341 Phone: 435-753-1545 |