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Individual

LOGAN SCOTT RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8850 E PIMA CENTER PKWY, SCOTTSDALE, AZ 85258-4619
(480) 800-3900
Mailing address
713 N POPLAR ST, GILBERT, AZ 85233-3950
(602) 828-1837

Taxonomy

Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary

Other

Enumeration date
04/28/2023
Last updated
04/28/2023
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