# CACHE VALLEY WOMENS CENTER, PLLC

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

## Provider details

- **NPI number:** 1922217850
- **Authorized official:** JODI SICKLER (OFFICE MANAGER)
- **Authorized official phone:** (435) 753-9999

## Contact information

- **Practice address:** 1325 NORTH 600 E, \#102, LOGAN, UT 84341
- **Practice address phone:** (435) 753-9999
- **Practice address fax:** (435) 753-0546
- **Mailing address:** 1325 NORTH 600 E, \#102, LOGAN, UT 84341
- **Mailing address phone:** (435) 753-9999
- **Mailing address fax:** (435) 753-0546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 02/12/2013