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Logan Gull, DPM
Student in an Organized Health Care Education/Training Program in Kingston, New York
NPI 1528641412

Logan Gull is a Student in an Organized Health Care Education/Training Program based in Pocatello, NY. Logan Gull practices in Kingston, NY and has the professional credentials of DPM. The NPI Number for Logan Gull is 1528641412 and holds a License No. (New York).

The current practice location address for Logan Gull is 396 Broadway, Kingston, NY and can be reached out via phone at 845-943-6014.

Location: 396 Broadway, Kingston, NY, 83201-3006
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528641412
Provider Name
Logan Gull
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
396 Broadway, Kingston, NY, 83201-3006
Phone Number
845-943-6014
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
396 Broadway
City
Kingston
State
New York
Zip
12401-4626
Phone Number
845-943-6014
Fax Number
person
Provider Business Mailing Address Details
Address
396 Broadway
City
Kingston
State
New York
Zip
12401-4626
Phone Number
845-943-6014
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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