NPI 1740553510

Mount Logan Chiropractic INC

Organisation Exclusive Provider Organization Providence, UT

Practice location

Address: 267 N Spring Creek Pkwy, Providence, UT 84332-9775
Phone: (435) 792-9400
Fax: (435) 792-4800

Authorised official

Name: Steven Scott Garvert
Title: Owner/Chiropractor
Phone: (435) 792-9400

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 4788778-1202 (UT)

Other Exclusive Provider Organization providers in Utah →

Registry record

NPI: 1740553510
Entity type: Organization
NPI issued: 9 Feb 2012
Record last updated: 29 Mar 2012

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.