CANYON MEDICAL GROUP LLC NPI 1952599409

NPI Information

  • NPI: 1952599409
  • Provider Name: CANYON MEDICAL GROUP LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • Former Legal Business Name: TREEHOUSE PEDIATRICS & FAMILY CARE LLC
  • Address: 1624 N 200 E STE 160
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 750-5599

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NPI Details

CANYON MEDICAL GROUP LLC is a pediatrics in Logan, UT. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CANYON MEDICAL GROUP LLC NPI is 1952599409. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Treehouse Pediatrics & Family Care Llc.

The provider's business location address is:

1624 N 200 E STE 160
LOGAN, UT
ZIP 84341-175
Phone: (435) 750-5599
Fax: (435) 750-0861

The provider's authorized official is Wendy Wimmer .
The authorized official title is Manager and has the following contact phone number (435) 750-5599.

The enumeration date for this NPI number is 10/10/2007 and was last updated on 1/23/2023.

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
1208000000XPediatrics0708814UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1528291883001MEDICAIDUTAH

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: 11/21/2025

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