HomeNPI Verification

NPI Verification

National Provider Identifier: 1023512241

Logan Medical Group LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

All Specialties (3)

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Preventive Medicine, Occupational Medicine

Code: 2083X0100X

Family Medicine

Code: 207Q00000X

Primary

Practice Address

280 S MAIN ST

BOUNTIFUL, UT 840106236

Phone: 801-505-0821

NPI Enumeration Date

March 21, 2018

NPI Number

1023512241

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry