Canyon Medical Group Llc
Pediatrics
Canyon Medical Group Llc is a Logan, Utah based Pediatric center with medical specialization in
General Pediatrics. Canyon Medical Group Llc is also known as
Treehouse Pediatrics & Family Care Llc.
It is located at
1624 N 200 E Ste 160, Logan, Utah - 84341-3175. They can be contacted on phone at
435-750-5599 and fax number 435-750-0861.
NPI number (Unique professional ID) for Canyon Medical Group Llc is
1952599409 which was assigned by NPPES on 10 Oct, 2007 and it was last updated on 23 Jan, 2023.
Canyon Medical Group Llc license number is
0708814 for Pediatrics (208000000X) in Utah.
Canyon Medical Group Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Canyon Medical Group Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Canyon Medical Group Llc |
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| Other Name : | Treehouse Pediatrics & Family Care Llc |
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Business Address:
Canyon Medical Group Llc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1624 N 200 E Ste 160
Logan, UT, 84341-3175
United States |
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| Phone Number : | 435-750-5599 |
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| Fax Number : | 435-750-0861 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1952599409 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 10 Oct, 2007 |
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| Last Updated On : | 23 Jan, 2023 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Wendy Wimmer |
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| Official Title or Position : | Manager |
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| Phone Number : | 4357505599 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Canyon Medical Group Llc are as mentioned. Primary taxonomy code for Canyon Medical Group Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 0708814 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Canyon Medical Group Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 005750702 | MEDICARE PIN | UT | |
| 528291883001 | MEDICAID | UT | |
| G41237 | MEDICARE UPIN | UT | |
| I06230 | MEDICARE UPIN | UT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1624 N 200 E Ste 160
Logan, UT, 84341-3175
United States |
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| Phone Number : | 435-750-5599 |
|---|
| Fax Number : | 435-750-0861 |
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Business Location:
Patients can refer following map for directions to
Canyon Medical Group Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.