Individual
LOGAN C. SHELNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 N 1900 E # 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7899
Mailing address
30 N 1900 E # 4C116, SALT LAKE CITY, UT 84132-0002
(801) 581-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12985071-1205
UT
Other
Enumeration date
04/14/2021
Last updated
08/16/2022
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