Individual
DR. BRET W. LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D, PLC
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Mailing address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223-5349
(270) 798-8372
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD34842
TN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD34842
TN
Other
Enumeration date
03/14/2006
Last updated
12/29/2010
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