Individual
CHAD LOGAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1920
Mailing address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1920
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12981265-1204
UT
Other
Enumeration date
04/11/2019
Last updated
05/01/2023
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