Organization
IHC HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS HOLMES MAW MS ATC-L (ATHLETIC TRAINER)
(435) 716-2880
Entity
Organization
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-2880
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-2880
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
63229574810
UT
Other
Enumeration date
12/11/2006
Last updated
06/19/2008
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