| Cache Vein Care | |
|
1219 N 400 E Logan UT 84341-2321 | |
| (435) 753-2842 | |
| Not Available |
| Full Name | Cache Vein Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1219 N 400 E, Logan, Utah |
| Authorized Official Name and Position | Corey B Johnson (PRESIDENT) |
| Authorized Official Contact | 4357532842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cache Vein Care 1219 N 400 E Logan UT 84341-2321 Ph: (435) 753-2842 | Cache Vein Care 1219 N 400 E Logan UT 84341-2321 Ph: (435) 753-2842 |
| NPI Number | 1114115763 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114115763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1848241205 (Utah) | Primary |
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