Logan Urology Clinic
NPI #1326274507 in Logan, Utah
Provider Information
- NPI Number
- 1326274507
- Entity Type
- Organization
- Organization Name
- Logan Urology Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOGAN UROLOGY CLINIC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 2, 2009
- Last Updated
- Jun 2, 2009
Practice Location
Authorized Official
- Name
- DR. RYAN HAROLD LARSEN, M.D.
- Title
- PHYSICIAN
- Phone
- (435) 753-1171
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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