Gary P Sazama Phd Apc

NPI 1003014143 - Psychologist - 103TC0700X

NPI Details
NPI 1003014143
Enumeration Date 07/10/2007
Last Updated 02/27/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name NICHOLE NICHOLE
Position OFFICE MANAGER
Phone (435) 752-8010
Fax
Practice Location
150 E 200 N
SUITE O
LOGAN UT, 84321-6602, US
Phone (435) 752-8010
Fax
Business Location
150 E 200 N STE O
LOGAN UT, 84321-4036, US
Phone (435) 752-8010
Fax
Toxanomy
Taxonomy Code 103TC0700X
License State Utah
License Number 112064-2504
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According to our database, Gary P Sazama Phd Apc NPI is 1003014143, taxonomy code is 103TC0700X and license number is 112064-2504, license state is located at Utah. Gary P Sazama Phd Apc physically located at 150 E 200 N, Logan UT, 84321-6602. NPI Number 1033115704 has the healthcare provider type.

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1003014143 NPI number is provided on an as is basis without warranty of any kind. 1003014143 is maintained by the National Plan & Provider Enumeration System. The contents of Gary P Sazama Phd Apc are for informational purposes only.