# NORTHERN UTAH GASTROENTEROLOGY AND ENDOSCOPY SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629034855
- **Authorized official:** DR. DIRK R. DAVIS M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (435) 792-6105

## Contact information

- **Practice address:** 630 E 1400 N, LOGAN, UT 84341-2534
- **Practice address phone:** (435) 787-0270
- **Practice address fax:** (435) 787-0262
- **Mailing address:** 630 E 1400 N, LOGAN, UT 84341-2534
- **Mailing address phone:** (435) 787-0270
- **Mailing address fax:** (435) 787-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 02/27/2015