institution
Northern Utah Endoscopy Center
Ambulatory Surgical Clinic/Center in Logan, Utah
NPI 1902875669

Northern Utah Endoscopy Center is an Ambulatory Surgical Clinic/Center based in Logan, UT and is specialized in Ambulatory Surgical. Northern Utah Endoscopy Center practices in Logan, UT. The NPI Number for Northern Utah Endoscopy Center is 1902875669 and holds a License No. 2006-ASF-16794 (Utah).

The current practice location address for Northern Utah Endoscopy Center is 630 E 1400 N, Logan, UT and can be reached out via phone at 435-787-0270 and via fax at 435-787-0262.

Location: 630 E 1400 N, Logan, UT, 84341-2534
institution
Provider Profile Details
NPI Number
1902875669
Provider Name
Northern Utah Endoscopy Center
Credential
Provider Entity Type
Organization
Address
630 E 1400 N, Logan, UT, 84341-2534
Phone Number
435-787-0270
Fax Number
435-787-0262
Provider Enumeration Date
03/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
490004876 01 UT RAILROAD MEDICARE
2006-ASF-16794 01 UT STATE LICENSE
806091700 05 ID
116023100 05 WY
institution
Provider Business Practice Location Address Details
Address
630 E 1400 N
City
State
Zip
84341-2534
Phone Number
435-787-0270
Fax Number
435-787-0262
person
Provider Business Mailing Address Details
Address
630 E 1400 N
City
State
Zip
84341-2534
Phone Number
435-787-0270
Fax Number
435-787-0262
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
2006-ASF-16794 (Utah)
Definition
Definition to come...
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