IndividualActive
Ali Ben-Jacob, MD
NPI 1083611669 · Hematology & Oncology Physician · Logan, UT
Provider details
- NPI number
- 1083611669
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 292373-1205 (UT)
Practice location
1281 North 600 East
Logan, UT 84341-2443
Phone: (435) 752-5999
Fax: (435) 752-5551
Mailing address
1281 North 600 East
Logan, UT 84341-2443
Registry dates
- Enumerated
- 2005-06-28
- Last updated
- 2014-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.