Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GLENN O MORTENSEN, MD
ActiveGLENN O MORTENSEN, MD is a Family Medicine healthcare provider located in LOGAN, Utah. NPI 1184634669 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOGAN, UT
Registration Details
- NPI Number
- 1184634669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (20.006013303912 yrs)
- Last Updated
- Feb 19, 2016
- License
-
1609171205 (UT)
Practice Information
- Address
-
1750 N 1000 ELOGAN, UT, 843411909Browse UT providers · Browse ZIP 84341
- Phone
- 4357571516
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LOGAN, UT
| Name | Credential | NPI |
|---|---|---|
| JAMES WALTER DAVIS | M.D. | 1801878095 |
| DESERAE JEANETTE GOBLE | MD | 1366415770 |
| DR. MATTHEW JOHN WELTER | M.D. | 1164486064 |
| BRANT WAHLEN FONNESBECK | DO | 1033156849 |
| JOHN BARRETT | MD | 1487688552 |
| NATHAN H CALL | — | 1104830884 |
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.