Christian David Macnutt

NPI #1134861917 in Logan, Utah

Provider Information

NPI Number: 1134861917
Entity Type: Individual
Name: Christian David Macnutt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 11, 2022
Last Updated: Apr 11, 2022

Practice Location

Address: 90 E 200 N
City: Logan
State: Utah
ZIP Code: 84321-4034
Phone: (435) 752-0750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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