| Logan Cancer Clinic | |
|
1281 N 600 E Logan UT 84341-6988 | |
| (435) 716-1130 | |
| Not Available |
| Full Name | Logan Cancer Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1281 N 600 E, Logan, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYSICIAN EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Cancer Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: () - | Logan Cancer Clinic 1281 N 600 E Logan UT 84341-6988 Ph: (435) 716-1130 |
| NPI Number | 1033572193 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033572193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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