Logan Urology Clinic
Logan Urology Clinic is an Exclusive Provider Organization in Logan, Utah. Licensed in Utah. Registered with an NPI since 2009.
- Licensed in
- UT
- In the registry since
- 2009
Practice location Address checks out
550 E 1400 N Ste JLogan, UT 84341-2406
Phone: (435) 753-1171
Fax: (435) 792-4464
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 175141-1205 (UT) |
|---|
Record details
| NPI number | 1326274507 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Logan Urology Clinic |
| Authorized official | Ryan Larsen — Physician · (435) 753-1171 |
| NPI enumerated | June 2, 2009 |
| Last updated in NPPES | June 2, 2009 |
| Mailing address | 550 E 1400 N, Ste J, Logan, UT 84341-2406 |