WESTERN INTERMOUNTAIN LITHOTRIPSY
Ambulatory Health at Garden Cir, Logan, UT

License number
Utah 2055
Category
Ambulatory Health
Type
Lithotripsy
Owner
Name: MR. DAVID NEIL KOOYMAN
Title: CEO/BUSINESS MANAGER
Phone: (435) 757-6264
Address
Address 2
862 Garden Cir, Logan, UT 84321
PO Box 160515, Clearfield, UT 84016
National Provider ID: 1679767834
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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