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1689137143
CHAD LOGAN MARTINEZ
LOGAN, UT
NPI
1689137143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: UT 12981265-1204)
Enumeration Date
2019-04-11
Last Update Date
2023-05-01
Business Address
CHAD LOGAN MARTINEZ DO
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1920
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Mailing Address
CHAD LOGAN MARTINEZ DO
1400 N 500 E
LOGAN, UT 84341-2455
Phone number: 435-716-1920
Copy
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