Individual
LOGAN PATRICK MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958
(302) 294-1468
(302) 261-7399
Mailing address
16152 GILLS NECK RD, LEWES, DE 19958-5029
(302) 841-1375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0001371
DE
Other
Enumeration date
11/21/2019
Last updated
12/09/2019
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