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 |
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Address | 1910 N Arlington Ave, Indianapolis, Indiana |
Phone Number | 3173595357 |
Fax Number | 3173595358 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT/ |
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Authorized Official Name | Logan Clifford Patrick |
Credentials | MD |
Telephone Number | 3173595357 |
NPI Number Detail
NPI Number | 1831399278 |
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Provider Enumeration Date | 2007-07-24 |
Last Updated Date | 2007-07-24 |
Provider Mailing Address Detail
Address | 1910 N Arlington Ave |
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City | Indianapolis |
State | Indiana (IN) |
Post Code | 462185128 |
Phone Number | 3173595357 |
Fax Number | 3173595358 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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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 |
---|---|---|---|
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