Individual
LOGAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(765) 516-6292
(765) 349-7688
Mailing address
510 GRAND VALLEY BLVD, MARTINSVILLE, IN 46151-5883
(765) 516-6292
(765) 349-7688
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
1261
IN
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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