Lepont Utah Medical Group

NPI #1417465014 in Logan, Utah

Provider Information

NPI Number
1417465014
Entity Type
Organization
Organization Name
Lepont Utah Medical Group
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Jan 17, 2018
Last Updated
Jun 20, 2018

Practice Location

Address
1015 E 100 N
City
Logan
State
Utah
ZIP Code
84321-4873
Phone
(435) 770-4673

Authorized Official

Name
MARK FIRTH, MD
Title
MEDICAL DIRECTOR
Phone
(435) 770-4673

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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