| NPI | 1124618319 |
|---|---|
| Doing Business As | LOGAN HEALTH UROLOGY |
| Entity Type | Organization |
| Authorized Contact | WILLIAM D GIBSON General Counsel 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |