Individual
DR. JEREMY JAMES LOGAN
Active
Individual
DR. JEREMY JAMES LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
81641-20
WI
2085R0202X
Diagnostic Radiology Physician
MD2005-0545
NM
2085R0202X
Diagnostic Radiology Physician
MD219095
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202003153
PRESBYTERIAN HEALH/SALUD
—
05
—
83852
—
NM
05
—
992108
—
AZ
Enumeration date
02/06/2006
Last updated
07/09/2026
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