Individual provider · Type 1 NPI

Logan James Stover, PA-C

Medical Physician Assistant · Du Bois, PA

NPI number 1508756420 Active

Practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

3021 Williams Rd
Clearfield, PA 16830-7134

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA066756 (PA)
Medical Physician Assistant Primary 363AM0700XOA007314

Medical Physician Assistant: Definition to come...

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About NPI 1508756420

Logan James Stover, PA-C's National Provider Identifier is 1508756420, issued on Jul 3, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Du Bois, PA. The record was last updated on Jul 3, 2025.