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Individual

DR. LOGAN GARY FOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
324 E 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-8500
(801) 408-8510
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8963607-1205
UT
2084P0800X
Psychiatry Physician
LL32913
SC

Other

Enumeration date
06/24/2010
Last updated
08/26/2022
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