Individual
LOGAN SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
3181 W 9000 S, WEST JORDAN, UT 84088-5610
(801) 965-3600
Mailing address
2965 W 3500 S, WEST VALLEY CITY, UT 84119-3602
(801) 965-3600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11741724-4405
UT
Other
Enumeration date
10/21/2024
Last updated
12/03/2024
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