John A. Logan III, M.D.

NPI #1740445295 in Henderson, Kentucky

Provider Information

NPI Number: 1740445295
Entity Type: Individual
Name: John A. Logan III, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Jul 24, 2008
Last Updated: Jul 24, 2008

Practice Location

Address: 1305 N ELM ST # 48
City: Henderson
State: Kentucky
ZIP Code: 42420-2783
Phone: (270) 827-7353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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