Logan Kupitz, PA-C
NPI #1891343950 in Eagle Mountain, Utah
Provider Information
- NPI Number
- 1891343950
- Entity Type
- Individual
- Name
- Logan Kupitz, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Aug 30, 2019
- Last Updated
- May 13, 2022
Practice Location
- Address
- 4095 E PONY EXPRESS PKWY STE 1
- City
- Eagle Mountain
- State
- Utah
- ZIP Code
- 84005-5531
- Phone
- (801) 429-8037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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