Individual
ZACHARY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6843 E MAIN ST, MESA, AZ 85207-8207
(480) 870-7300
(480) 870-7302
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(615) 315-5257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59949
TN
207Q00000X
Family Medicine Physician
Primary
67357
AZ
Other
Enumeration date
03/28/2016
Last updated
09/06/2022
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