Individual
DR. LOGAN JOSEPH COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
900 N CANAL BLVD, THIBODAUX, LA 70301-8096
(985) 446-3276
Mailing address
246 GUIDRY ST, BOURG, LA 70343-5418
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2065-012AT
LA
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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