Organization
W BRYCE COOK DPM INC
Active
Other names
FOOT CLINIC OF LOGAN
Organization subpart
No
Provider details
NPI number
Authorized official
W BRYCE COOK DPM (OWNER)
(435) 752-9011
Entity
Organization
Contact information
Practice address
550 E 1400 N STE B, LOGAN, UT 84341-2450
(435) 752-9011
(435) 752-7159
Mailing address
550 E 1400 N STE B, LOGAN, UT 84341-2450
(435) 752-9011
(435) 752-7159
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1032580501
UT
Other
Enumeration date
06/29/2007
Last updated
03/28/2008
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