Individual provider · Type 1 NPI

Logan Harrison Robertson

Medical Physician Assistant · Hagerstown, MD

NPI number 1093343402 Active

Practice location

11110 Medical Campus Rd Ste 200
Hagerstown, MD 21742-6797

Call (301) 714-4400 Map

Other practice locations

  • 1583 Luther Michael Rd, Berkeley Springs, WV 25411-7263 · (304) 839-4215

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XC08038 (MD)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700XC0008038 (MD)

Medical Physician Assistant: Definition to come...

38 other providers at this address

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About NPI 1093343402

Logan Harrison Robertson's National Provider Identifier is 1093343402, issued on Mar 31, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hagerstown, MD. The record was last updated on Nov 10, 2021.