Organization
LOGAN VIEW PEDIATRICS
Active
Organization
LOGAN VIEW PEDIATRICS
Active
Parent organization
LOGAN VIEW, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOGAN VIEW, INC.
Authorized official
TAMARA GUMP (CHIEF OPERATING OFFICER)
(937) 593-0245
Entity
Organization
Contact information
Practice address
118 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 593-5437
Mailing address
118 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L0893154
—
OH
Enumeration date
03/25/2006
Last updated
07/11/2007
Update your record
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