Individual
HILARY BETH LOGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR FL CLINIC3, TRAVIS AFB, CA 94535-1809
(916) 843-9224
Mailing address
101 BODIN CIRCLE, GENERAL SURGERY CLINIC, 3RD FLOOR, DGMC, TRAVIS AFB, CA 94535
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A113749
CA
Other
Enumeration date
05/06/2009
Last updated
02/11/2022
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