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Logan Foot & Ankle Center
Podiatric Clinic/Center in Logan, West Virginia
NPI 1215334966

Logan Foot & Ankle Center is a Podiatric Clinic/Center based in Logan, WV and is specialized in Podiatric. Logan Foot & Ankle Center practices in Logan, WV. The NPI Number for Logan Foot & Ankle Center is 1215334966 and holds a License No. 10421 (West Virginia).

The current practice location address for Logan Foot & Ankle Center is 100 Main Ave, Logan, WV and can be reached out via phone at 304-896-5012 and via fax at 304-896-5013.

Location: 100 Main Ave, Logan, WV, 25601-0186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215334966
Provider Name
Logan Foot & Ankle Center
Credential
Provider Entity Type
Organization
Address
100 Main Ave, Logan, WV, 25601-0186
Phone Number
304-896-5012
Fax Number
304-896-5013
Provider Enumeration Date
11/24/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810026851 05 WV
institution
Provider Business Practice Location Address Details
Address
100 Main Ave
City
Logan
State
West Virginia
Zip
25601-3323
Phone Number
304-896-5012
Fax Number
304-896-5013
person
Provider Business Mailing Address Details
Address
100 Main Ave
City
Logan
State
West Virginia
Zip
25601-3323
Phone Number
304-896-5012
Fax Number
304-896-5013
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
10421 (West Virginia)
Definition
Definition to come...
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