| Budge Clinic Anticoagulation | |
|
1350 N 500 E Logan UT 84341-2400 | |
| (435) 752-0422 | |
| Not Available |
| Full Name | Budge Clinic Anticoagulation |
|---|---|
| Speciality | Clinic/center |
| Location | 1350 N 500 E, Logan, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYS EXEC/PRES IMGROUP) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Budge Clinic Anticoagulation Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 657-4400 | Budge Clinic Anticoagulation 1350 N 500 E Logan UT 84341-2400 Ph: (435) 752-0422 |
| NPI Number | 1154826618 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 04/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154826618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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