Organization
LEPONT UTAH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FIRTH MD (MEDICAL DIRECTOR)
(435) 770-4673
Entity
Organization
Contact information
Practice address
1015 E 100 N, LOGAN, UT 84321-4873
(435) 770-4673
Mailing address
1015 E 100 N, LOGAN, UT 84321-4873
(435) 770-4673
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
01/17/2018
Last updated
06/20/2018
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