Organization · Type 2 NPI
Logan Pediatrics, Inc
Rural Health Clinic/Center · Logan, WV
NPI number
1396409173
Active
Practice location
300 Prosperity Lane, Suite 100
Logan, WV 25601
Fax (304) 831-0076
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | None listed |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
Other rural health clinic/center providers in Logan
About NPI 1396409173
Logan Pediatrics, Inc's National Provider Identifier is 1396409173, issued on Oct 27, 2021. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Logan, WV. The record was last updated on Oct 27, 2021.