Individual
LOGAN K SUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
880 SEVEN HILLS DR STE 260, HENDERSON, NV 89052-4373
(702) 990-4800
(702) 990-4808
Mailing address
2285 CORPORATE CIR STE 200, HENDERSON, NV 89074-7759
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2611
NV
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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