Individual
MARIE M. LOGVINOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4800 ALBERTA AVE, EL PASO, TX 79905-2709
(915) 545-6920
(915) 545-9799
Mailing address
PO BOX 9520, EL PASO, TX 79995-9520
(915) 545-6920
(915) 783-8187
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F7825
TX
2080P0214X
Pediatric Pulmonology Physician
Primary
F7825
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138711012
—
TX
Enumeration date
08/23/2006
Last updated
11/17/2008
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