| NPI | 1689871857 |
|---|---|
| Doing Business As | FOOT CLINIC OF LOGAN |
| Entity Type | Organization |
| Authorized Contact | W BRYCE COOK Owner 435-752-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: UT 1032580501) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-03-28 |