Shelby Fox Logan, PA-C

NPI #1619250826 in Grants Pass, Oregon

Provider Information

NPI Number: 1619250826
Entity Type: Individual
Name: Shelby Fox Logan, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 23, 2011
Last Updated: Oct 5, 2022

Practice Location

Address: 702 SW RAMSEY AVE STE 112
City: Grants Pass
State: Oregon
ZIP Code: 97527-5859
Phone: (541) 472-0603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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