Glenn O Mortensen, MD

NPI #1184634669 in Logan, Utah

Provider Information

NPI Number: 1184634669
Entity Type: Individual
Name: Glenn O Mortensen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 8, 2006
Last Updated: Feb 19, 2016

Practice Location

Address: 1750 N 1000 E
City: Logan
State: Utah
ZIP Code: 84341-1909
Phone: (435) 757-1516

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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