Individual
LOGAN BODE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10635 PROFESSIONAL CIR STE A, RENO, NV 89521-5836
(775) 852-0505
(775) 852-0508
Mailing address
10635 PROFESSIONAL CIR STE A, RENO, NV 89521-5836
(775) 852-0505
(775) 852-0508
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2728
NV
Other
Enumeration date
10/18/2021
Last updated
02/07/2023
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