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Advanced Integrated Medical Llc
Health Service Clinic/Center in Logan, Utah
NPI 1396369435

Advanced Integrated Medical Llc is a Health Service Clinic/Center based in Logan, UT and is specialized in Health Service. Advanced Integrated Medical Llc practices in Logan, UT. The NPI Number for Advanced Integrated Medical Llc is 1396369435 and holds a License No. (Utah).

The current practice location address for Advanced Integrated Medical Llc is 1635 N 200 E, Logan, UT and can be reached out via phone at 435-932-6138 and via fax at 435-213-9325.

Location: 1635 N 200 E, Logan, UT, 84341-1913
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396369435
Provider Name
Advanced Integrated Medical Llc
Credential
Provider Entity Type
Organization
Address
1635 N 200 E, Logan, UT, 84341-1913
Phone Number
435-932-6138
Fax Number
435-213-9325
Provider Enumeration Date
06/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1962456681 01 UT OTHER INSURERS
institution
Provider Business Practice Location Address Details
Address
1635 N 200 E
City
Logan
State
Utah
Zip
84341-1913
Phone Number
435-932-6138
Fax Number
435-213-9325
person
Provider Business Mailing Address Details
Address
1635 N 200 E
City
Logan
State
Utah
Zip
84341-1913
Phone Number
435-932-6138
Fax Number
435-213-9325
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
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Definition
Definition to come...
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