Individual
DR. IAN J LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2068 JOHN JONES ROAD, SUITE # 3116, DAVIS, CA 95616-9711
(530) 747-0389
(530) 747-0623
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A97807
CA
Other
Enumeration date
01/11/2007
Last updated
07/29/2015
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