Individual
LOGAN BADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2277
Mailing address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708
(757) 953-2277
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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