Organization · Type 2 NPI
Logan Pediatrics, Inc
Specialist · Logan, WV
NPI number
1720299803
Active
Practice location
60 Hospital Dr
Logan, WV 25601-3452
Fax (304) 831-0076
Mailing address
PO Box 117
Logan, WV 25601-0117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 21990 (WV) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2 other providers at this address
Other specialist providers in Logan
About NPI 1720299803
Logan Pediatrics, Inc's National Provider Identifier is 1720299803, issued on May 24, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Logan, WV. The record was last updated on Jul 2, 2008.