Individual
LOGAN AUSTIN LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 W WILSON BRIDGE RD, WORTHINGTON, OH 43085-2585
(614) 396-2684
Mailing address
3311 N MONTGOMERY COUNTY LINE RD, TIPP CITY, OH 45371-8958
(937) 477-0264
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009998RX
OH
Other
Enumeration date
03/02/2026
Last updated
03/02/2026
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