Logan Surgical Suites LLC
NPI #1104301613 in Logan, Utah
Provider Information
- NPI Number
- 1104301613
- Entity Type
- Organization
- Organization Name
- Logan Surgical Suites LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 1, 2018
- Last Updated
- Sep 23, 2021
Practice Location
Authorized Official
- Name
- MRS. MARIELLE WHITLOCK, R.N.
- Title
- ADMINISTRATOR
- Phone
- (435) 760-3734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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