Living Tree Medical Group, NPI 1639754583
Family Medicine Physician in Logan, UT, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1639754583
NPI Entity Type Organization
Provider Name Living Tree Medical Group
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1219 N 400 E, Logan, UT, US
Provider Mailing Address 1219 N 400 E Ofc, Logan, UT, US, 843412321
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Jeron Tree
Official Position MANAGER
Phone 435-994-9946

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

Living Tree Medical Group
1219 N 400 E

Logan, UT, US

Phone: 435-565-6043
Fax: 435-215-4420

Mailing Address

Living Tree Medical Group
1219 N 400 E Ofc
Logan, UT, US
ZIP 843412321
Phone: 435-565-6043
Fax: 435-215-4420

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261QH0100X

Ambulatory Health Care Facilities

Clinic/Center

No

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Alexis Suzanne Goodwin

Individual

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Bountiful, UT

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