Individual
MR. JOHN WILLIAM LOGSDON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS, PA-C
Contact information
Practice address
4 PEMBROKE RD, CONCORD, NH 03301-5652
(603) 225-1879
Mailing address
91 LYNNEWOOD RD, LACONIA, NH 03246-2911
(603) 528-1732
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0590
NH
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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