P C Logan Md Inc in Indianapolis - Dermatology
P C Logan Md Inc - NPI 1831399278
P C Logan Md Inc is a Dermatology in Indianapolis, Indiana. P C Logan Md Inc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for P C Logan Md Inc is 1831399278. The last update date is 2007-07-24.
P C Logan Md Inc's current location address is 1910 N Arlington Ave, Indianapolis, Indiana. You can contact this provider via phone number 3173595357 and fax number 3173595358. The mailing address for P C Logan Md Inc is 1910 N Arlington Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | P C Logan Md Inc |
|---|---|
| Address | 1910 N Arlington Ave, Indianapolis, Indiana |
| Phone Number | 3173595357 |
| Fax Number | 3173595358 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Logan Clifford Patrick |
| Credentials | MD |
| Telephone Number | 3173595357 |
NPI Number Detail
| NPI Number | 1831399278 |
|---|---|
| Provider Enumeration Date | 2007-07-24 |
| Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
| Address | 1910 N Arlington Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462185128 |
| Phone Number | 3173595357 |
| Fax Number | 3173595358 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 01020481A |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 82565 | IN | ANTHEM BLUE CROSS & BLUE | |
| 100055560A | IN | -- | |
| 72068448 | IN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to P C Logan Md Inc?
The P C Logan Md Inc has been issued the NPI (National Provider Identifier) 1831399278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where P C Logan Md Inc's facilities are geographically located?
The facilities of P C Logan Md Inc are physically situated at the following location: 1910 N Arlington Ave, Indianapolis, IN, 462185128.
What is P C Logan Md Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for P C Logan Md Inc is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the P C Logan Md Inc receive its 1831399278 assignment from the Centers for Medicare & Medicaid Services?
The P C Logan Md Inc was assigned its 1831399278 by the Centers for Medicare & Medicaid Services on 2007-07-24.
As of what date were the P C Logan Md Inc's details last updated?
The information pertaining to the P C Logan Md Inc, including its address, specialty, and other details, was most recently updated on 2007-07-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY