Patrick Clifford Logan in Indianapolis - Dermatology

Patrick Clifford Logan - NPI 1992704290

Patrick Clifford Logan is a Dermatology in Indianapolis, Indiana. Patrick Clifford Logan practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Patrick Clifford Logan is 1992704290. The last update date is 2013-10-09.

Patrick Clifford Logan's current location address is 1910 N Arlington Ave, Indianapolis, Indiana. You can contact this provider via phone number 3173595358 and fax number 3173595358. The mailing address for Patrick Clifford Logan is 1910 N Arlington Ave, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Clifford Logan
Address 1910 N Arlington Ave, Indianapolis, Indiana
Phone Number 3173595358
Fax Number 3173595358
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1992704290
Provider Enumeration Date 2005-07-19
Last Updated Date 2013-10-09

Provider Mailing Address Detail

Address 1910 N Arlington Ave
City Indianapolis
State Indiana (IN)
Post Code 462185199
Phone Number 3173595358
Fax Number 3173595358

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 01020481A
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100055560A IN --
72068448 IN RAILROAD MEDICARE

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FAQs about Patrick Clifford Logan

What is the unique identification code assigned to Patrick Clifford Logan by the Centers for Medicare & Medicaid Services?

The Patrick Clifford Logan has been issued the NPI (National Provider Identifier) 1992704290. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Patrick Clifford Logan's facilities are geographically located?

The facilities of Patrick Clifford Logan are physically situated at the following location: 1910 N Arlington Ave, Indianapolis, IN, 462185199.

What is the Patrick Clifford Logan's specialty and taxonomy code?

The Patrick Clifford Logan's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

On what date did the Patrick Clifford Logan receive the assignment of its 1992704290 from the Centers for Medicare & Medicaid Services?

The Patrick Clifford Logan was issued its 1992704290 by the Centers for Medicare & Medicaid Services on 2005-07-19.

As of what date were the details related to Patrick Clifford Logan most recently updated or revised?

The information pertaining to Patrick Clifford Logan, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-09.

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