Individual
MR. PATRICK VINCENT LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.P.O
Contact information
Practice address
426 INDIAN ROCK DR, SPRINGFIELD, PA 19064-1926
(610) 338-0878
Mailing address
426 INDIAN ROCK DR, SPRINGFIELD, PA 19064-1926
(610) 338-0878
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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