David Logan, CCMA

NPI #1912884917 in Casper, Wyoming

Provider Information

NPI Number
1912884917
Entity Type
Individual
Name
David Logan, CCMA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
CCMA
Enumeration Date
Aug 20, 2025
Last Updated
Aug 20, 2025

Practice Location

Address
1430 WILKINS CIR
City
Casper
State
Wyoming
ZIP Code
82601-1336
Phone
(307) 237-9583

Specialties & Taxonomy Codes

Specialty
Technician, Other

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