Individual provider · Type 1 NPI

Logan Allen Susong

Student in an Organized Health Care Education/Training Program · Dayton, OH

NPI number 1083166086 Active

Practice location

3555 Surry Ridge Way
Dayton, OH 45424-8012

Call (937) 235-2523 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
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 1083166086

Logan Allen Susong's National Provider Identifier is 1083166086, issued on Oct 26, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dayton, OH. The record was last updated on Oct 26, 2016.