NPI | 1720678097 |
---|---|
Doing Business As | LOGAN HEALTH DIABETES EDUCATION & PREVENTION |
Entity Type | Organization |
Authorized Contact | WILLIAM D GIBSON General Counsel 406-752-1724 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-01-21 |
Last Update Date | 2021-03-02 |