NPI Details | |
---|---|
NPI | 1164572186 |
Gender | Male |
Enumeration Date | 01/11/2007 |
Last Updated | 07/29/2015 |
Entity Type | Individual |
Active | Over 11 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 |
Remove 1164572186 NPI Number |
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.
Sponsored links
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.
Sponsored links