Logan Internal Medicine Group
NPI #1730117896 in Logan, West Virginia
Provider Information
- NPI Number
- 1730117896
- Entity Type
- Organization
- Organization Name
- Logan Internal Medicine Group
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Feb 10, 2011
Practice Location
- Address
- 77 HOSPITAL DRIVE
- Address 2
- SUITE 101
- City
- Logan
- State
- West Virginia
- ZIP Code
- 25601-3451
- Phone
- (304) 831-0450
Authorized Official
- Name
- FERNANDO LUIS GONZALEZ-RAMOS, MD
- Title
- CEO
- Phone
- (304) 831-0450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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