Individual
LOGAN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 772-4419
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 772-4419
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57.259145
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2025
Last updated
09/08/2025
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