Individual
DR. BRADLEY J. LOGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9613 SANDIFUR PKWY STE A, PASCO, WA 99301-8028
(509) 943-8839
(509) 943-8851
Mailing address
9613 SANDIFUR PKWY STE A, PASCO, WA 99301-8028
(509) 943-8839
(509) 943-8851
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
OP60219543
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2040768
—
WA
Enumeration date
02/13/2009
Last updated
05/10/2024
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