Organization
CANYON MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY C WIMMER (MANAGER)
(435) 757-2009
Entity
Organization
Contact information
Practice address
1325 N 600 E STE 101, LOGAN, UT 84341-6743
(435) 750-5599
(435) 750-0861
Mailing address
1325 N 600 E STE 101, LOGAN, UT 84341-6743
(435) 750-5599
(435) 750-0861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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