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Individual

DR. JAMIE PAUL LOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 HIGH ST, SUITE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Mailing address
10 HIGH ST, SUITE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
017220
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4331194499
ME
Enumeration date
12/05/2005
Last updated
09/02/2010
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