Individual
MR. LOGAN B LINTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 W IRONWOOD DR STE 341, COEUR D ALENE, ID 83814-4404
(208) 625-5200
(208) 625-5201
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5200
(208) 625-5201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2133
ID
363AM0700X
Medical Physician Assistant
PA53741
CA
Other
Enumeration date
05/05/2016
Last updated
04/25/2024
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