Canyon Medical Group Llc in Logan - Pediatrics
Canyon Medical Group Llc - NPI 1952599409
Canyon Medical Group Llc is a Pediatrics in Logan, Utah. Canyon Medical Group Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Canyon Medical Group Llc is 1952599409. The last update date is 2023-01-23.
Canyon Medical Group Llc's current location address is 1624 N 200 E Ste 160, Logan, Utah. You can contact this provider via phone number 4357505599 and fax number 4357500861. The mailing address for Canyon Medical Group Llc is 1624 N 200 E Ste 160, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canyon Medical Group Llc |
|---|---|
| Address | 1624 N 200 E Ste 160, Logan, Utah |
| Phone Number | 4357505599 |
| Fax Number | 4357500861 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Wimmer Wendy |
| Telephone Number | 4357505599 |
NPI Number Detail
| NPI Number | 1952599409 |
|---|---|
| Provider Enumeration Date | 2007-10-10 |
| Last Updated Date | 2023-01-23 |
Provider Mailing Address Detail
| Address | 1624 N 200 E Ste 160 |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843413175 |
| Phone Number | 4357505599 |
| Fax Number | 4357500861 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 708814 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 528291883001 | UT | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Canyon Medical Group Llc by the Centers for Medicare & Medicaid Services?
The Canyon Medical Group Llc has been issued the NPI (National Provider Identifier) 1952599409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Canyon Medical Group Llc?
The Canyon Medical Group Llc is physically situated at 1624 N 200 E Ste 160, in the city of Logan, state of UT, with the postal code 843413175.
What is the Canyon Medical Group Llc's area of specialization and corresponding taxonomy classification?
The Canyon Medical Group Llc's specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1952599409 to Canyon Medical Group Llc?
The Canyon Medical Group Llc received its 1952599409 assignment from the Centers for Medicare & Medicaid Services on 2007-10-10.
As of what date was the information regarding Canyon Medical Group Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Canyon Medical Group Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-01-23.
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