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Individual

MR. LOGAN LEE GOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3908
(614) 566-5000
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(614) 788-6010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009418RX
OH
363A00000X
Physician Assistant
PA2854
KY
363AM0700X
Medical Physician Assistant
PA2854
KY
363AS0400X
Surgical Physician Assistant
PA2854
KY

Other

Enumeration date
12/20/2021
Last updated
08/04/2025
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