# JACRIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Vein Center and Medspa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366874414
- **Authorized official:** DR. RICHARD J. LOGES III M.D. (PARTNER)
- **Authorized official phone:** (330) 629-9400

## Contact information

- **Practice address:** 965 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5088
- **Practice address phone:** (330) 629-9400
- **Practice address fax:** (330) 629-9441
- **Mailing address:** 965 WINDHAM CT, SUITE 2, BOARDMAN, OH 44512-5088
- **Mailing address phone:** (330) 629-9400
- **Mailing address fax:** (330) 629-9441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | 35.070443 | OH | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 09/04/2013