Individual
DR. DAVID L OGDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
895 SIR FRANCIS DRAKE BLVD, SAN ANSELMO, CA 94960-1916
(415) 925-3596
(415) 925-3597
Mailing address
PO BOX 6671, SANTA ROSA, CA 95406-0671
(707) 544-7331
(707) 948-6046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G83692
CA
Other
Enumeration date
01/27/2006
Last updated
01/06/2021
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