Organization
BAY RADIOLOGY ASSOCIATES, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD G. LOGUE D.O. (PRESIDENT)
(850) 747-4905
Entity
Organization
Contact information
Practice address
527 N. PALO ALTO AVE., PANAMA CITY, FL 32401-3639
(850) 747-4905
(850) 747-4907
Mailing address
PO BOX 1770, PANAMA CITY, FL 32402-1770
(850) 747-4905
(850) 747-4907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00548
BCBS
FL
01
—
00548
BCBS
—
05
—
069999300
—
FL
Enumeration date
03/01/2006
Last updated
08/04/2016
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