Individual provider · Type 1 NPI

Mia Logsdon, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1356072235 Active

Practice location

800 Spruce St
Philadelphia, PA 19107-6192

Call (215) 316-5151 Map

Mailing address

2116 Ashley Rd
Newtown, PA 18940-3735

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1356072235

Mia Logsdon, PA-C's National Provider Identifier is 1356072235, issued on Jun 21, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 21, 2022.