Organization · Type 2 NPI
Logan Family Practice, LLC
Primary Care Clinic/Center · Logan, NM
NPI number
1902044597
Active
Practice location
600 Gallegos
Logan, NM 88426-7602
Fax (575) 487-9002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | R14626 (NM) |
| Family Nurse Practitioner | 363LF0000X | R14626 (NM) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
About NPI 1902044597
Logan Family Practice, LLC's National Provider Identifier is 1902044597, issued on Feb 4, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Logan, NM. The record was last updated on Feb 23, 2014.