Mark Edward Logan
NPI #1457022998 in Chincoteague, Virginia
Provider Information
- NPI Number
- 1457022998
- Entity Type
- Individual
- Name
- Mark Edward Logan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Enumeration Date
- Sep 24, 2021
- Last Updated
- Sep 24, 2021
Practice Location
- Address
- 3823 MAIN ST
- City
- Chincoteague
- State
- Virginia
- ZIP Code
- 23336-1857
- Phone
- (757) 336-2844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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