| Chad Logan Martinez, DO | |
| 1400 N 500 E, Logan, UT 84341-2455 | |
| (435) 716-1920 | |
| Not Available | 
| Full Name | Chad Logan Martinez | 
|---|---|
| Gender | Male | 
| Speciality | Obstetrics & Gynecology | 
| Location | 1400 N 500 E, Logan, Utah | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689137143 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 12981265-1204 (Utah) | Primary | 
| Entity Name | Ihc Health Services Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Chad Logan Martinez, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1920 | Chad Logan Martinez, DO 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1920 | 
| Ernest Brett Horsley, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
| Dr. Francis Neal Mortenson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1141 Fox Farm Rd, Logan, UT 84321 Phone: 435-753-0870 Fax: 435-753-0870 | |
| Kimberly D Mcculloch, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
| James P Benedict, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1920 | |
| Mrs. Anne Sadler Blackett, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 N 600 E, Suite 102, Logan, UT 84341 Phone: 435-753-9999 | |
| David A Kirkman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1325 No 600e, #102, Logan, UT 84341 Phone: 435-753-9999 Fax: 435-753-2301 | |
| Dr. Jon W Ahlstrom, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N, Suite I, Logan, UT 84341 Phone: 435-753-1545 |