Individual
BRUCE A ISAACSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 E 1400 N STE Z, LOGAN, UT 84341-2407
(435) 755-5799
(435) 755-5839
Mailing address
550 E 1400 N STE Z, LOGAN, UT 84341-2407
(435) 755-5799
(435) 755-5839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
178069-1205
UT
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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