# PETER E. LOGERFO, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922190065
- **Authorized official:** DR. PETER EDWARD LOGERFO M.D. (PHYSICIAN)
- **Authorized official phone:** (253) 548-0453

## Contact information

- **Practice address:** 11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4264
- **Practice address phone:** (253) 548-0453
- **Practice address fax:** (253) 548-3049
- **Mailing address:** 11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4268
- **Mailing address phone:** (253) 548-0453
- **Mailing address fax:** (253) 548-3049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD00036213 | WA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 02/13/2008
