Sage Functional Medicine Center | |
55 E 100 N Suite 303 Logan UT 84321-4661 | |
(435) 760-7078 | |
Not Available |
Full Name | Sage Functional Medicine Center |
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Speciality | Clinic/center - Primary Care |
Location | 55 E 100 N, Logan, Utah |
Authorized Official Name and Position | Lisa Shea Roberts (OWNER/OPERATOR) |
Authorized Official Contact | 4357607078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sage Functional Medicine Center 55 E 100 N Suite 303 Logan UT 84321-4661 Ph: (435) 760-7078 | Sage Functional Medicine Center 55 E 100 N Suite 303 Logan UT 84321-4661 Ph: (435) 760-7078 |
NPI Number | 1912368549 |
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Provider Enumeration Date | 03/09/2016 |
Last Update Date | 03/09/2016 |
Identifier | Type | State | Issuer |
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1912368549 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 8689112-4405 (Utah) | Primary |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315 | |
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816 | |