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Individual

MR. LOGAN MENEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
3151 JOHNSON RD, STEUBENVILLE, OH 43952-2362
(304) 906-9070
Mailing address
4225 KINGWOOD PIKE, REEDSVILLE, WV 26547-7151

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT006235
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2000034930
BOC CERTIFICATION
01
AT006235
AT LICENSURE
OH
Enumeration date
11/10/2020
Last updated
11/10/2020
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