| Northern Utah Gastroenterology And Endoscopy Specialists Llc | |
|
630 E 1400 N Logan UT 84341-2534 | |
| (435) 787-0270 | |
| (435) 787-0262 |
| Full Name | Northern Utah Gastroenterology And Endoscopy Specialists Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 630 E 1400 N, Logan, Utah |
| Authorized Official Name and Position | Dirk R. Davis (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4357926105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Utah Gastroenterology And Endoscopy Specialists Llc 630 E 1400 N Logan UT 84341-2534 Ph: (435) 787-0270 | Northern Utah Gastroenterology And Endoscopy Specialists Llc 630 E 1400 N Logan UT 84341-2534 Ph: (435) 787-0270 |
| NPI Number | 1629034855 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629034855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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