Carol Logan

NPI #1417318197 in Alton, Illinois

Provider Information

NPI Number
1417318197
Entity Type
Individual
Name
Carol Logan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 9, 2016
Last Updated
Mar 9, 2016

Practice Location

Address
603 W DELMAR AVE
City
Alton
ZIP Code
62002-4277
Phone
(618) 467-0640

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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