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Organization
NORTHERN UTAH ENDOSCOPY CENTER
Active
Organization
NORTHERN UTAH ENDOSCOPY CENTER
Active
Other names
Northern Utah Endoscopy Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE BOHMAN MD (MEMBER)
(435) 787-0270
Entity
Organization
Contact information
Practice address
630 E 1400 N, SUITE 100A, LOGAN, UT 84341-2534
(435) 787-0270
(435) 787-0262
Mailing address
630 E 1400 N, SUITE 100A, LOGAN, UT 84341-2534
(435) 787-0270
(435) 787-0262
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
2006-ASF-16794
UT
Other
Enumeration date
03/15/2006
Last updated
04/28/2011
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