Susan Teresa Logut PA-C

NPI 1760497242 - Physician Assistant - 363A00000X

NPI Details
NPI 1760497242
Gender Female
Enumeration Date 07/30/2006
Last Updated 01/05/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
701 BROAD ST
SUITE B 4TH FLOOR
SEWICKLEY PA, 15143-1652, US
Phone (412) 741-0985
Fax (412) 741-7539
Business Location
54 WAGNER DR
MC DONALD PA, 15057-2344, US
Phone (724) 926-9922
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Pennsylvania
License Number MA000684L
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According to our database, Susan Teresa Logut PA-C NPI is 1760497242, taxonomy code is 363A00000X and license number is MA000684L, license state is located at Pennsylvania. Susan Teresa Logut PA-C physically located at 701 Broad St, Sewickley PA, 15143-1652. NPI Number Susan Teresa Logut PA-C has the Individual type.

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1760497242 NPI number is provided on an as is basis without warranty of any kind. 1760497242 is maintained by the National Plan & Provider Enumeration System. The contents of Susan Teresa Logut PA-C are for informational purposes only.