Individual
MR. LOGAN PALLISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
728 OAKWOOD ST, JACKSON, MS 39202-1120
(314) 520-7593
Mailing address
728 OAKWOOD ST, JACKSON, MS 39202-1120
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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