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Logan Pediatrics, Inc
Specialist in Logan, West Virginia
NPI 1720299803

Logan Pediatrics, Inc is a Specialist based in Logan, WV. Logan Pediatrics, Inc practices in Logan, WV. The NPI Number for Logan Pediatrics, Inc is 1720299803 and holds a License No. 21990 (West Virginia).

The current practice location address for Logan Pediatrics, Inc is 60 Hospital Dr, Logan, WV and can be reached out via phone at 304-831-0073 and via fax at 304-831-0076. You can also correspond with Logan Pediatrics, Inc through the mailing address at PO BOX 117, LOGAN, WV - 25601-0117 (mailing address contact number: 304-831-0073).

Location: 60 Hospital Dr, Logan, WV, 25601-0117
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720299803
Provider Name
Logan Pediatrics, Inc
Credential
Provider Entity Type
Organization
Address
60 Hospital Dr, Logan, WV, 25601-0117
Phone Number
304-831-0073
Fax Number
304-831-0076
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3810012095 05 WV
institution
Provider Business Practice Location Address Details
Address
60 Hospital Dr
City
Logan
State
West Virginia
Zip
25601-3452
Phone Number
304-831-0073
Fax Number
304-831-0076
person
Provider Business Mailing Address Details
Address
60 Hospital Dr
City
Logan
State
West Virginia
Zip
25601-3452
Phone Number
304-831-0073
Fax Number
304-831-0076
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
21990 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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