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Mark E Logan Md Pc
Addiction Medicine (Internal Medicine) Physician in Rutland, Vermont
NPI 1003117078

Mark E Logan Md Pc is an Addiction Medicine (Internal Medicine) Physician based in Rutland, VT and is specialized in Addiction Medicine. Mark E Logan Md Pc practices in Rutland, VT. The NPI Number for Mark E Logan Md Pc is 1003117078 and holds a License No. 042-0006819 (Vermont).

The current practice location address for Mark E Logan Md Pc is 199 Stratton Rd, Rutland, VT and can be reached out via phone at 802-775-7798 and via fax at 802-775-7762.

Location: 199 Stratton Rd, Rutland, VT, 05701-4621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003117078
Provider Name
Mark E Logan Md Pc
Credential
Provider Entity Type
Organization
Address
199 Stratton Rd, Rutland, VT, 05701-4621
Phone Number
802-775-7798
Fax Number
802-775-7762
Provider Enumeration Date
11/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1018281 05 VT
institution
Provider Business Practice Location Address Details
Address
199 Stratton Rd
City
Rutland
State
Vermont
Zip
05701-4621
Phone Number
802-775-7798
Fax Number
802-775-7762
person
Provider Business Mailing Address Details
Address
199 Stratton Rd
City
Rutland
State
Vermont
Zip
05701-4621
Phone Number
802-775-7798
Fax Number
802-775-7762
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
042-0006819 (Vermont)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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