Organization · Type 2 NPI
Logan Surgical Suites LLC
Ambulatory Surgical Clinic/Center · Logan, UT
NPI number
1104301613
Active
Practice location
55 East Golf Course Road
Logan, UT 84321-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1104301613
Logan Surgical Suites LLC's National Provider Identifier is 1104301613, issued on Oct 1, 2018. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Logan, UT. The record was last updated on Sep 23, 2021.