| Budge Gi | |
|
1350 N 500 E Ste 340 Logan UT 84341-2400 | |
| (435) 752-0422 | |
| Not Available |
| Full Name | Budge Gi |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1350 N 500 E, Logan, Utah |
| Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
| Authorized Official Contact | 8014423974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Budge Gi Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 752-0422 | Budge Gi 1350 N 500 E Ste 340 Logan UT 84341-2400 Ph: (435) 752-0422 |
| NPI Number | 1306974670 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 09/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306974670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 06-05129 (Utah) | Primary |
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