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Contact Information

NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC
630 E 1400 N
LOGAN, UT84341-2534
 Phone: 435-787-0270
 Fax: 435-787-0262
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC · (Female)

NPI Number 1629034855
Status Active
Credentials
Entity Individual
Enumeration date 04/25/2006
Last updated 02/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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