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

Jon W Ahlstrom MD PC

Organization Obstetrics & Gynecology Physician · NPI 1679847784

Jon W Ahlstrom MD PC is an Obstetrics & Gynecology Physician in North Logan, Utah. Licensed in Utah. Registered with an NPI since 2012.

Licensed in
UT
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

550 E 1400 N Ste I
North Logan, UT 84341-2406
Phone: (435) 753-1545
Fax: (435) 753-3153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4918766-1205 (UT)

Record details

NPI number1679847784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Ahlstrom — Owner · (435) 753-1545
NPI enumeratedMarch 7, 2012
Last updated in NPPESMarch 7, 2012
Mailing address550 E 1400 N, Ste I, North Logan, UT 84341-2406

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