Organization · Type 2 NPI
Western Intermountain Lithotripsy
Lithotripsy Clinic/Center · Logan, UT
NPI number
1679767834
Active
Practice location
862 Garden Cir
Logan, UT 84321-6465
Fax (801) 964-1344
Mailing address
PO Box 160515
Clearfield, UT 84016-0515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lithotripsy Clinic/Center Primary | 261QL0400X | 2055 (UT) |
Lithotripsy Clinic/Center: Definition to come...
About NPI 1679767834
Western Intermountain Lithotripsy's National Provider Identifier is 1679767834, issued on Aug 30, 2007. The primary taxonomy on file is Lithotripsy Clinic/Center (261QL0400X), and the practice location is in Logan, UT. The record was last updated on Aug 7, 2013.