Organization
USU STUDENT HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BULLOCK (OFFICE MANAGER)
(435) 797-1131
Entity
Organization
Contact information
Practice address
9100 OLD MAIN HL, LOGAN, UT 84322-9100
(435) 797-1131
(435) 797-8010
Mailing address
9100 OLD MAIN HL, LOGAN, UT 84322-9100
(435) 797-1131
(435) 797-8010
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
317131-1204
UT
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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