Organization
LOW T CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L SKALKA JR. JD, FNP-C (OWNER)
(833) 468-5698
Entity
Organization
Contact information
Practice address
2150 N MAIN ST STE 10, NORTH LOGAN, UT 84341-1740
(833) 468-5698
Mailing address
PO BOX 115, PROVIDENCE, UT 84332-0115
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
03/21/2018
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