Organization
CACHE ORTHOPAEDICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY KARTSONE (ACCOUNTS MANAGER)
(435) 753-1600
Entity
Organization
Contact information
Practice address
2380 N 400 E, STE G, LOGAN, UT 84341-1749
(435) 792-4100
Mailing address
274 N MAIN ST, LOGAN, UT 84321-3915
(435) 753-1600
(435) 753-9521
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1654981205
UT
207XS0106X
Orthopaedic Hand Surgery Physician
1654981205
UT
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
1654981205
UT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
1654981205
UT
Other
Enumeration date
10/17/2007
Last updated
01/18/2008
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