Budge Internal Medicine | |
1350 N 500 E Logan UT 84341-2400 | |
(435) 752-0422 | |
Not Available |
Full Name | Budge Internal Medicine |
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Speciality | Internal Medicine |
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 |
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Budge Internal Medicine Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 752-0422 | Budge Internal Medicine 1350 N 500 E Logan UT 84341-2400 Ph: (435) 752-0422 |
NPI Number | 1669500955 |
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Provider Enumeration Date | 03/01/2007 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
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1669500955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 06-05129 (Utah) | Primary |
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