Individual
LOGAN ORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
645 W 5TH ST, JASPER, IN 47546-3172
(812) 634-2778
(812) 634-2909
Mailing address
645 W 5TH ST, JASPER, IN 47546-3172
(812) 634-2778
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
41000394A
IN
Other
Enumeration date
06/20/2019
Last updated
09/21/2023
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