Individual
DR. PHILIPPE J LOGAGLIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 SPRING HILL AVE, VA OUTPATIENT CLINIC MOPC, MOBILE, AL 36604-3207
(251) 219-3900
Mailing address
1504 SPRING HILL AVE, VA OUTPATIENT CLINIC MOPC, MOBILE, AL 36604-3207
(251) 219-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
05493R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1343731
—
LA
Enumeration date
06/30/2006
Last updated
09/26/2007
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