RUSSEL T MCKENNA

LOGAN, UT
NPI1184633711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  2851791204)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
-- RUSSEL T MCKENNA DO
1325 N 600 E STE 101
LOGAN, UT 84341
Phone number: 435-750-5599
Mailing Address
-- RUSSEL T MCKENNA DO
1325 N 600 E STE 101
LOGAN, UT 84341
Phone number: 435-750-5599
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