Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canyon Medical Group

Organization Pediatrics Physician · NPI 1730764614

Canyon Medical Group is a Pediatrics Physician in Logan, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1325 N 600 E Ste 101
Logan, UT 84341-6743
Phone: (435) 750-5599
Fax: (435) 750-0861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1730764614
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Wimmer — Manager · (435) 757-2009
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address1325 N 600 E Ste 101, Logan, UT 84341-6743

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