| NPI | 1972197499 |
|---|---|
| Doing Business As | LOGAN HEALTH WELLNESS & PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | WILLIAM GIBSON General Counsel 406-752-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-03-02 |