NPI 1053016592 · live from the CMS NPI Registry
Logan Douglas Birch, DPM
Podiatrist in Lehi, UT. National Provider Identifier 1053016592, active.
NPI record
| NPI | 1053016592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 3401 N Thanksgiving Way Ste 190, Lehi, UT 84048 |
| Practice phone | 385-454-5027 |
| Enumerated | April 4, 2023 |
| Last updated | June 30, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 14295383-0501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.