1326274507 LOGAN UROLOGY CLINIC

Exclusive Provider Organization

Active

Basic Information

Organization Name
LOGAN UROLOGY CLINIC
Enumeration Date
June 2, 2009
Last Update
June 2, 2009
Authorized Official
DR. RYAN HAROLD LARSEN M.D.
PHYSICIAN
Phone: (435) 753-1171

Practice Location

Address
550 E 1400 N
STE J
LOGAN, UT 843412406
Phone
(435) 753-1171
Fax
(435) 792-4464

Mailing Address

Address
550 E 1400 N
STE J
LOGAN, UT 843412406
Phone
(435) 753-1171
Fax
(435) 792-4464

Specialties & Taxonomies

Specialty Code Classification License State Primary
Exclusive Provider Organization
302F00000X Exclusive Provider Organization 175141-1205 UT Primary

Other Identifiers

Identifier Type State Issuer
340017516 05 ID N/A
08582 05 UT N/A

Frequently Asked Questions

What is LOGAN UROLOGY CLINIC's NPI number?
LOGAN UROLOGY CLINIC's NPI number is 1326274507.
Which doctor has NPI number 1326274507?
The doctor with NPI number 1326274507 is LOGAN UROLOGY CLINIC.
What is LOGAN UROLOGY CLINIC's practice address?
LOGAN UROLOGY CLINIC's practice address is 550 E 1400 N, STE J, LOGAN, UT, 843412406.
Which doctor practices at 550 E 1400 N, STE J, LOGAN, UT, 843412406?
LOGAN UROLOGY CLINIC practices at 550 E 1400 N, STE J, LOGAN, UT, 843412406.
What is LOGAN UROLOGY CLINIC's phone number?
LOGAN UROLOGY CLINIC's phone number is (435) 753-1171.
Who is (435) 753-1171?
(435) 753-1171 is the phone number for LOGAN UROLOGY CLINIC.
What is LOGAN UROLOGY CLINIC's specialty?
LOGAN UROLOGY CLINIC's specialty is Exclusive Provider Organization.
What type of doctor is LOGAN UROLOGY CLINIC?
LOGAN UROLOGY CLINIC is a Exclusive Provider Organization.
Is LOGAN UROLOGY CLINIC a Exclusive Provider Organization?
Yes, LOGAN UROLOGY CLINIC is a Exclusive Provider Organization.
Is LOGAN UROLOGY CLINIC still practicing?
Yes, LOGAN UROLOGY CLINIC is currently practicing.
Is LOGAN UROLOGY CLINIC accepting new patients?
LOGAN UROLOGY CLINIC may be accepting new patients. Please call their office at (435) 753-1171 to inquire about availability.
Is NPI 1326274507 still active?
Yes, NPI 1326274507 is currently active.
Where does LOGAN UROLOGY CLINIC practice?
LOGAN UROLOGY CLINIC practices in LOGAN, UT.