Individual
LOGAN ALEXANDER SIEMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
17241 MURPHY AVE, IRVINE, CA 92614-5917
(530) 559-9246
Mailing address
18428 OAK CANYON RD APT 574, CANYON COUNTRY, CA 91387-6358
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
306509
CA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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