Organization · Type 2 NPI
Salt Lake City Vamc
VA Clinic/Center · North Logan, UT
NPI number
1659980316
Active
Practice location
2380 N 400 E Ste G
North Logan, UT 84341-1769
Fax (913) 578-4536
Mailing address
PO Box 94463
Cleveland, OH 44101-4463
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
Another provider at this address
About NPI 1659980316
Salt Lake City Vamc's National Provider Identifier is 1659980316, issued on Jul 29, 2020. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in North Logan, UT. The record was last updated on Jul 29, 2020.