Logan Bundy MD

NPI #1942462189 in Fillmore, California

Provider Information

NPI Number: 1942462189
Entity Type: Organization
Organization Name: Logan Bundy MD
Primary Specialty: Legal Medicine
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 533 SESPE AVE
Address 2: SUITE B
City: Fillmore
State: California
ZIP Code: 93015-1985
Phone: (805) 524-6700

Authorized Official

Name: MR. LOGAN KEITH BUNDY, MD
Title: OWNER
Phone: (805) 524-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Legal Medicine	173000000X	Primary

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