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Individual

FAITH LOGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
13760 N 93RD AVE STE 101, PEORIA, AZ 85381-4203
(623) 547-2600
(623) 547-1899
Mailing address
3260 N HAYDEN RD STE 112, SCOTTSDALE, AZ 85251-6650
(602) 264-9100
(602) 264-9101

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10053
AZ
363A00000X
Physician Assistant

Other

Enumeration date
08/08/2022
Last updated
05/13/2026
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