Individual
LOGAN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3721 HIGHWAY 412 E, SUITE A, SILOAM SPRINGS, AR 72761-8010
(479) 215-3070
Mailing address
3721 HIGHWAY 412 E, SUITE A, SILOAM SPRINGS, AR 72761-8010
(479) 215-3070
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A004933
AR
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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