LEPONT UTAH MEDICAL GROUP

LOGAN, UT
NPI1417465014
Entity TypeOrganization
Authorized ContactMARK FIRTH
Medical Director
435-770-4673
Organization Subpart ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
Enumeration Date2018-01-17
Last Update Date2018-06-20
Business Address
LEPONT UTAH MEDICAL GROUP
1015 E 100 N
LOGAN, UT 84321-4873
Phone number: 435-770-4673
Mailing Address
LEPONT UTAH MEDICAL GROUP
1015 E 100 N
LOGAN, UT 84321-4873
Phone number: 435-770-4673