person
Mr. Logan Nielson, PA-C
Medical Physician Assistant in Burley, Idaho
NPI 1184199648

Logan Nielson is a Medical Physician Assistant based in Burley, ID and is specialized in Medical. Logan Nielson practices in Burley, ID and has the professional credentials of PA-C. The NPI Number for Logan Nielson is 1184199648 and holds a License No. (Idaho).

The current practice location address for Logan Nielson is 382 N Overland Ave, Burley, ID and can be reached out via phone at 208-678-6996.

Location: 382 N Overland Ave, Burley, ID, 83318-3217
person
Provider Profile Details
NPI Number
1184199648
Provider Name
Logan Nielson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
382 N Overland Ave, Burley, ID, 83318-3217
Phone Number
208-678-6996
Fax Number
Provider Enumeration Date
10/10/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
382 N Overland Ave
City
State
Zip
83318-3433
Phone Number
208-678-6996
Fax Number
person
Provider Business Mailing Address Details
Address
382 N Overland Ave
City
State
Zip
83318-3433
Phone Number
208-678-6996
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Idaho)
Definition
Definition to come...
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