GLENN O MORTENSEN

LOGAN, UT
NPI1184634669
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: UT  1609171205)
Enumeration Date2006-08-08
Last Update Date2016-02-19
Business Address
-- GLENN O MORTENSEN MD
1750 N 1000 E
LOGAN, UT 84341-1909
Phone number: 435-757-1516
Mailing Address
-- GLENN O MORTENSEN MD
1750 N 1000 E
LOGAN, UT 84341-1909
Phone number: 435-757-1516
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