Individual
LOGAN P SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
548 S 700 W, SALT LAKE CITY, UT 84104-1086
(385) 456-9160
Mailing address
548 S 700 W, SALT LAKE CITY, UT 84104-1086
(385) 456-9160
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F24-113089
UT
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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