Individual provider · Type 1 NPI

Logan Smoot

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1023806429 Active

Practice location

26520 Cactus Ave
Moreno Valley, CA 92555-3927

Call (951) 486-4000 Map

Mailing address

8108 Luckenwald Cv
Round Rock, TX 78681-5314

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023806429

Logan Smoot's National Provider Identifier is 1023806429, issued on Apr 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Apr 28, 2025.