Individual
WILLIAM C LOGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
724 N MAIN ST, LACONIA, NH 03246-2742
(603) 524-9201
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 227-7000
(864) 327-1662
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
23138
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T72123
—
SC
Enumeration date
06/05/2006
Last updated
06/25/2025
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