Individual
BRENT JUSTIN LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101254581
VA
208000000X
Pediatrics Physician
Primary
2007-01471
NC
208000000X
Pediatrics Physician
50417
TN
2080P0205X
Pediatric Endocrinology Physician
0101254581
VA
2080P0205X
Pediatric Endocrinology Physician
50417
TN
Other
Enumeration date
10/19/2007
Last updated
10/25/2016
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