Organization
CACHE VALLEY PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL OLSEN M.D. (OWNER)
(435) 716-4103
Entity
Organization
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-4103
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
96939571205
UT
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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