| Logan Cancer Clinic | |
|
1281 N 600 E Logan UT 84341-6988 | |
| (435) 716-1130 | |
| Not Available |
| Full Name | Logan Cancer Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 1281 N 600 E, Logan, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP-CHIEF PHYSICIAN EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Cancer Clinic Po Box 27128 Salt Lake City UT 84127-0128 | Logan Cancer Clinic 1281 N 600 E Logan UT 84341-6988 Ph: (435) 716-1130 |
| NPI Number | 1033572193 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 02/04/2020 |
| Certification Date | 02/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033572193 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
Mtchc Logan Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 801-393-5355 Fax: 801-394-4609 |
East Logan - Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 E 1400 N Ste Xy, Logan, UT 84341 Phone: 435-757-1315 |
Child and Family Eye Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 981 S Main St Ste 220, Logan, UT 84321 Phone: 435-363-2980 Fax: 435-514-0075 |
Bridge Utah Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 E 100 N, Logan, UT 84321 Phone: 888-221-0423 Fax: 888-221-9816 |
Cache Vein Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-753-2842 |
Affinity Healthcare, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 93 East 200 South, Suite 210-b, Logan, UT 84321 Phone: 435-276-0888 Fax: 833-471-4536 |