Full Name | |
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Speciality | Internal Medicine |
Location | 1350 N 500 E, Logan, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO - VICE PRESIDENT) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 752-0422 | 1350 N 500 E Logan UT 84341-2400 Ph: (435) 752-0422 |
NPI Number | 1912023300 |
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Provider Enumeration Date | 03/21/2007 |
Last Update Date | 06/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912023300 | NPI | - | NPPES |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315 | |
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816 | |