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Logan Henry Fairchild, DO
Internal Medicine Physician in Philadelphia, Pennsylvania
NPI 1881253649

Logan Henry Fairchild is a Internal Medicine Physician based in Brooklyn, PA. Logan Henry Fairchild practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Logan Henry Fairchild is 1881253649 and holds a License No. OT019238 (Pennsylvania).

The current practice location address for Logan Henry Fairchild is 130 S 9Th St, Philadelphia, PA and can be reached out via phone at 215-503-8890.

Location: 130 S 9Th St, Philadelphia, PA, 11219-2916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881253649
Provider Name
Logan Henry Fairchild
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
130 S 9Th St, Philadelphia, PA, 11219-2916
Phone Number
215-503-8890
Fax Number
Provider Enumeration Date
06/06/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OS022631 01 PA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
130 S 9Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-5233
Phone Number
215-503-8890
Fax Number
person
Provider Business Mailing Address Details
Address
130 S 9Th St
City
Philadelphia
State
Pennsylvania
Zip
19107-5233
Phone Number
215-503-8890
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
OS022631 (Pennsylvania)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
OT019238 (Pennsylvania)
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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