institution
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.

Location: 60 Hospital Dr, Logan, WV, 25601-0117
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
State
Zip
25601-3452
Phone Number
304-831-0073
Fax Number
304-831-0076
person
Provider Business Mailing Address Details
Address
60 Hospital Dr
City
State
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
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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