Ian J Logan M.D.

NPI 1164572186 - Internal Medicine - 207RG0100X

NPI Details
NPI 1164572186
Gender Male
Enumeration Date 01/11/2007
Last Updated 07/29/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2068 JOHN JONES ROAD
SUITE # 3116
DAVIS CA, 95616-9711, US
Phone (530) 747-0389
Fax (530) 747-0623
Business Location
10470 OLD PLACERVILLE RD
SUITE 100
SACRAMENTO CA, 95827-2539, US
Phone (800) 470-0071
Fax (530) 747-0623
Toxanomy
Taxonomy Code 207RG0100X
License State California
License Number A97807
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According to our database, Ian J Logan M.D. NPI is 1164572186, taxonomy code is 207RG0100X and license number is A97807, license state is located at California. Ian J Logan M.D. physically located at 2068 John Jones Road, Davis CA, 95616-9711. NPI Number Ian J Logan M.D. has the Individual type.

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1164572186 NPI number is provided on an as is basis without warranty of any kind. 1164572186 is maintained by the National Plan & Provider Enumeration System. The contents of Ian J Logan M.D. are for informational purposes only.