Individual
TREVOR THOMAS LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
355 W 16TH ST # GH4700, INDIANAPOLIS, IN 46202-2207
(317) 948-5450
Mailing address
355 W 16TH ST # GH4700, INDIANAPOLIS, IN 46202-2207
(317) 948-5450
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
01096290A
IN
Other
Enumeration date
03/31/2021
Last updated
07/23/2025
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