Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 146448-1205 | UT |
NPI | 1013242916 |
---|---|
Provider Name | Dr. Francis Neal Mortenson |
First Address | Logan, UT 84321-4807 |
Second Address | Logan, UT 84321-4807 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2009 |
Last Update Date | 09/10/2009 |