Individual
LOGAN D BLUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 853-0222
(540) 981-7855
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102209873
VA
207L00000X
Anesthesiology Physician
310721
NY
207L00000X
Anesthesiology Physician
OS19220
FL
Other
Enumeration date
04/19/2017
Last updated
02/24/2026
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