Individual
JESSICA LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 IRVING ST NW, MEDICAL SERVICE OFFICE, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-8184
Mailing address
50 IRVING ST NW, MEDICAL SERVICE OFFICE, WASHINGTON, DC 20422-0001
(202) 745-8000
(202) 745-8184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD040514
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2009
Last updated
08/21/2014
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