Logan E Radtke, MD is a student in an organized health care education training program in Salt Lake City, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Logan E Radtke, MD NPI is 1639757412. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
590 S WAKARA WAY
SALT LAKE CITY, UT
ZIP 84108-200
Phone: (801) 587-5400
The enumeration date for this NPI number is 4/1/2021 and was last updated on 4/1/2021.