Individual
DANIEL M SANDGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1350 N 500 E, LOGAN, UT 84341-2400
(435) 792-1940
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9681578-1204
UT
Other
Enumeration date
03/20/2013
Last updated
02/18/2019
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