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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WESTERN INTERMOUNTAIN LITHOTRIPSY

Active Organization

Lithotripsy Clinic · LOGAN, UT

Registration Details

NPI Number
1679767834
Provider Type
Organization
NPI Issued
Aug 30, 2007 (18.64672318105 yrs)
Last Updated
Aug 7, 2013
License
2055 (UT)

Practice Information

Address
862 GARDEN CIR
LOGAN, UT, 843216465
Browse UT providers · Browse ZIP 84321
Phone
8019641200
Fax
8019641344
Primary Specialty
Lithotripsy Clinic
261QL0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.