Organization
LIVING TREE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS COLEMAN (COC)
(435) 770-2131
Entity
Organization
Contact information
Practice address
1635 N 200 E, LOGAN, UT 84341-1913
(435) 565-6043
(435) 215-4420
Mailing address
1635 N 200 E, LOGAN, UT 84341-1913
(435) 565-6043
(435) 220-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
03/12/2021
Last updated
07/11/2025
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