Individual
MARY LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1842 E. ELM ST., TUCSON, AZ 85719
(520) 626-1187
Mailing address
1842 E. ELM ST., TUCSON, AZ 85719
(520) 626-1187
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R5757
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5757
ARIZONA MEDICAL BOARD
AZ
Enumeration date
06/10/2016
Last updated
06/10/2016
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