Canyon Medical Group

NPI #1730764614 in Logan, Utah

Provider Information

NPI Number: 1730764614
Entity Type: Organization
Organization Name: Canyon Medical Group
Primary Specialty: Pediatrics
Enumeration Date: Mar 12, 2021
Last Updated: Mar 12, 2021

Practice Location

Address: 1325 N 600 E STE 101
City: Logan
State: Utah
ZIP Code: 84341-6743
Phone: (435) 750-5599

Authorized Official

Name: WENDY C WIMMER
Title: MANAGER
Phone: (435) 757-2009

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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