Individual
LOGAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 E MAIN ST, LAMAR, AR 72846-7401
(479) 733-0400
(479) 733-0403
Mailing address
602 N WALTON BLVD, BENTONVILLE, AR 72712-4576
(479) 464-1060
(479) 271-6307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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