NPI 1568996072

Cache Valley Pathology, LLC

Organisation Anatomic Pathology & Clinical Pathology Physician Logan, UT

Practice location

Address: 1400 N 500 E, Logan, UT 84341-2455
Phone: (435) 716-4103

Authorised official

Name: Daniel Olsen
Title: Owner
Phone: (435) 716-4103

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 96939571205 (UT)

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Registry record

NPI: 1568996072
Entity type: Organization
NPI issued: 12 Apr 2017
Record last updated: 12 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.