Individual
TODD HAMBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 716-1130
(435) 719-1131
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 716-1130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5554739-4405
UT
Other
Enumeration date
11/09/2011
Last updated
03/17/2018
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