Logan Bader, DO - Portsmouth, VA

Logan Bader, DO

Military Health Care Provider in Portsmouth, Virginia

NPI 1306696661

Logan Bader is a Military Health Care Provider based in Portsmouth, VA. Logan Bader practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Logan Bader is 1306696661 and holds a License No. (Virginia).

The current practice location address for Logan Bader is 620 John Paul Jones Circle, Portsmouth, VA and can be reached out via phone at 757-953-2277.

Location: 620 John Paul Jones Circle, Portsmouth, VA, 23708

NPI Number

1306696661

Provider Name

Logan Bader

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Circle, Portsmouth, VA, 23708

Phone Number

757-953-2277

Fax Number

Provider Enumeration Date

03/26/2024

Last Update Date

04/14/2024

Address

620 John Paul Jones Circle

City

Portsmouth

State

Virginia

Zip

23708

Phone Number

757-953-2277

Fax Number

Address

620 John Paul Jones Circle

City

Portsmouth

State

Virginia

Zip

23708

Phone Number

757-953-2277

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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