Individual
PRAFULLA MARTIN-GARG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FAAP
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1940
Mailing address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1940
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51468161205
UT
Other
Enumeration date
08/05/2006
Last updated
07/17/2008
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