LIVING TREE MEDICAL GROUP NPI 1639754583

NPI Information

NPI: 1639754583
Provider Name: LIVING TREE MEDICAL GROUP
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1219 N 400 E OFC
LOGAN, UT
ZIP 84341
Phone: (435) 565-6043
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LIVING TREE MEDICAL GROUP is a health service clinic center in Logan, UT. LIVING TREE MEDICAL GROUP NPI is 1639754583. The provider is registered as an organization entity type.

The provider's business location address is:

1219 N 400 E OFC
LOGAN, UT
ZIP 84341-321
Phone: (435) 565-6043
Fax: (435) 215-4420

The provider's authorized official is Jeron Tree .
The authorized official title is Manager and has the following contact phone number (435) 994-9946.

The enumeration date for this NPI number is 3/12/2021 and was last updated on 3/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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