Organization
W BRYCE COOK
Active
Other names
FOOT CLINIC OF LOGAN
Organization subpart
No
Provider details
NPI number
Authorized official
W BRYCE COOK DPM (OWNER)
(435) 752-9011
Entity
Organization
Contact information
Practice address
990 MEDICAL DR, #U3, BRIGHAM CITY, UT 84302-4713
(435) 734-9623
(435) 752-7159
Mailing address
550 E 1400 N, #B, LOGAN, UT 84341-2406
(435) 752-9011
(435) 752-7159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1032580501
UT
Other
Enumeration date
08/25/2009
Last updated
03/05/2010
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