Glenn O Mortensen in Logan - Family Medicine
Glenn O Mortensen - NPI 1184634669
Glenn O Mortensen is a Family Medicine in Logan, Utah. Glenn O Mortensen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glenn O Mortensen is 1184634669. The last update date is 2016-02-19.
Glenn O Mortensen's current location address is 1750 N 1000 E, Logan, Utah. You can contact this provider via phone number 4357571516. The mailing address for Glenn O Mortensen is 1750 N 1000 E, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn O Mortensen |
|---|---|
| Address | 1750 N 1000 E, Logan, Utah |
| Phone Number | 4357571516 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184634669 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2016-02-19 |
Provider Mailing Address Detail
| Address | 1750 N 1000 E |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843411909 |
| Phone Number | 4357571516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 1609171205 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identifier code assigned to Glenn O Mortensen by the Centers for Medicare & Medicaid Services?
The Glenn O Mortensen has been issued the NPI (National Provider Identifier) 1184634669 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glenn O Mortensen's physical address?
The Glenn O Mortensen is physically located at 1750 N 1000 E, in the city of Logan, UT, with the postal code 843411909.
What is the Glenn O Mortensen's specialty and taxonomy code?
The Glenn O Mortensen's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did Glenn O Mortensen receive its 1184634669 assignment from the Centers for Medicare & Medicaid Services?
The Glenn O Mortensen was assigned its 1184634669 on 2006-08-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Glenn O Mortensen's information last updated?
The Glenn O Mortensen's information was last updated on 2016-02-19.
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