Individual
CATHY LYNN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4094 4TH AVE, SAN DIEGO, CA 92103-2143
(619) 515-2545
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A108361
CA
Other
Enumeration date
05/04/2007
Last updated
03/17/2018
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