Individual
JOHN BRISBANE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29301 N DIXIE RANCH RD, LACOMBE, LA 70445
(985) 871-4114
(985) 871-4130
Mailing address
29301 N DIXIE RANCH RD, LACOMBE, LA 70445
(985) 871-4114
(985) 871-4130
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
020254
LA
Other
Enumeration date
02/27/2006
Last updated
01/06/2021
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