Individual
MR. JOHN LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
4000 OLD COURT RD STE 105A, PIKESVILLE, MD 21208-2800
(443) 487-4394
(240) 482-8839
Mailing address
3800 GLEN AVE, BALTIMORE, MD 21215-3530
(443) 487-4394
(240) 482-8839
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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