WESTERN INTERMOUNTAIN LITHOTRIPSY is a lithotripsy clinic center in Logan, UT. WESTERN INTERMOUNTAIN LITHOTRIPSY NPI is 1679767834. The provider is registered as an organization entity type.
The provider's business location address is:
862 GARDEN CIR
LOGAN, UT
ZIP 84321-465
Phone: (801) 964-1200
Fax: (801) 964-1344
The provider's authorized official is David Neil Kooyman .
The authorized official title is Ceo/business Manager and has the following contact phone number (435) 757-6264.
The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/7/2013.