Atlas Medical Aco Llc | |
258 S Main St Ste 210 Logan UT 84321-5768 | |
(435) 999-9510 | |
Not Available |
Full Name | Atlas Medical Aco Llc |
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Speciality | Clinic/center |
Location | 258 S Main St Ste 210, Logan, Utah |
Authorized Official Name and Position | Gregory Chad Mangum (OWNER) |
Authorized Official Contact | 4355145646 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlas Medical Aco Llc 258 S Main St Ste 210 Logan UT 84321-5768 Ph: () - | Atlas Medical Aco Llc 258 S Main St Ste 210 Logan UT 84321-5768 Ph: (435) 999-9510 |
NPI Number | 1790513109 |
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Provider Enumeration Date | 07/25/2024 |
Last Update Date | 10/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790513109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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