Individual
LOGAN JOLDERSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2381
Mailing address
330 GARFIELD ST STE 202, SANTA FE, NM 87501-2677
(505) 992-0233
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0056
NM
Other
Enumeration date
05/12/2020
Last updated
08/15/2025
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