Individual
ANN DRAYTON LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8244 EAST US 36, AVON, IN 46123
(317) 272-3636
(317) 272-3646
Mailing address
6100 W 96TH ST, SUITE 125, INDIANAPOLIS, IN 46278-6005
(317) 715-1800
(317) 715-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01045617
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01045617B
CSR
IN
05
—
200161210
—
IN
05
—
200259350
—
IN
Enumeration date
10/04/2006
Last updated
03/07/2023
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