Individual
SCOTT D LOGAN
Active
Individual
SCOTT D LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35077928
OH
2085R0202X
Diagnostic Radiology Physician
MC-167
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2207472
—
OH
05
—
64029481
—
KY
01
—
P00187419
SOM RR MDCR PIN NO
OH
Enumeration date
07/22/2005
Last updated
03/25/2024
Update your record
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