Organization · Type 2 NPI
Sage Functional Medicine Center
Primary Care Clinic/Center · Logan, UT
NPI number
1912368549
Active
Practice location
55 E 100 N, Suite 303
Logan, UT 84321-4661
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 8689112-4405 (UT) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
Other primary care clinic/center providers in Logan
About NPI 1912368549
Sage Functional Medicine Center's National Provider Identifier is 1912368549, issued on Mar 9, 2016. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Logan, UT. The record was last updated on Mar 9, 2016.