Individual provider · Type 1 NPI

Stewart Reese Logan, MD

General Practice Physician · San Diego, CA

NPI number 1538656202 Active

Practice location

5575 Ruffin Rd Ste 100
San Diego, CA 92123-1361

Call (858) 277-2744 Map

Fax (858) 277-3085

Mailing address

100 Park Plz Apt 517
San Diego, CA 92101-6742

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XA167320 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1538656202

Stewart Reese Logan, MD's National Provider Identifier is 1538656202, issued on Apr 18, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Diego, CA. The record was last updated on Jun 3, 2023.