Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN L ROBERTSON, MD
ActiveGLENN L ROBERTSON, MD is a Family Medicine healthcare provider located in NORTH LOGAN, Utah. NPI 1144281122 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · NORTH LOGAN, UT
Registration Details
- NPI Number
- 1144281122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 30, 2006 (20.366413552825 yrs)
- Last Updated
- Jan 29, 2025
- Licenses
-
M-14903 (ID)12808A (WY)0101246275 (VA)372285-1205 (UT)
Practice Information
- Address
-
2380 N 400 E STE ANORTH LOGAN, UT, 843411756Browse UT providers · Browse ZIP 84341
- Phone
- 4355543240
- Fax
- 4355543241
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in NORTH LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| DR. JEREMY C STARR | DO | 1699876987 |
| CHRISTOPHER LEE RYAN | D.O. | 1386090496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.