| Logan Clinic | |
|
412 N 200 E Logan Clinic Logan UT 84321-4038 | |
| (435) 713-2800 | |
| (435) 713-2834 |
| Full Name | Logan Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 412 N 200 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 |
|---|---|
| Logan Clinic Po Box 27128 Salt Lake City UT 84127-0128 Ph: (435) 713-2800 | Logan Clinic 412 N 200 E Logan Clinic Logan UT 84321-4038 Ph: (435) 713-2800 |
| NPI Number | 1376688416 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 01/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376688416 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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