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Individual

DR. STEWART REESE LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5575 RUFFIN RD STE 100, SAN DIEGO, CA 92123-1361
(858) 277-2744
(858) 277-3085
Mailing address
100 PARK PLZ APT 517, SAN DIEGO, CA 92101-6742
(601) 826-6669

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A167320
CA

Other

Enumeration date
04/18/2018
Last updated
06/03/2023
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