Individual
DR. CASEY N ISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 EAST 1400 N SUITE S, LOGAN, UT 84341
(435) 787-1108
(435) 787-4244
Mailing address
550 E 1400 N, LOGAN, UT 84341-2407
(435) 787-1108
(435) 787-4244
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6178459-1205
UT
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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