Individual
LOGAN GRIFFITHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 TOWN CENTER PKWY STE 400, RESTON, VA 20190-3219
(703) 810-5202
(703) 810-5420
Mailing address
PO BOX 75868, BALTIMORE, MD 21275-5868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006257
VA
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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