Individual
DUSTIN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(509) 525-5200
Mailing address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
1115359
KY
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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