Individual
JOY L LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4475 S L-19 FRONTAGE ROAD, SUITE 101, GREEN VALLEY, AZ 85614
(520) 585-4590
(520) 398-7540
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(602) 759-6883
(602) 224-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
10447
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241711
—
AZ
Enumeration date
09/20/2006
Last updated
06/28/2018
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