| NPI | 1144814666 |
|---|---|
| Doing Business As | LOGAN HEALTH CHILDREN'S PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIBSON General Counsel 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |