Organization
LOGAN EMERGENCY PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZO KRSTEVSKI M.D. (PRESIDENT)
(800) 377-8721
Entity
Organization
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
(574) 753-1515
Mailing address
PO BOX 2078, HUNTINGTON, WV 25720-2078
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/11/2005
Last updated
08/22/2020
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