Individual
DR. DREW HENDERSON LOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1540 FLORIDA AVE, STE 212, MODESTO, CA 95350-4430
(209) 578-3170
(209) 529-4151
Mailing address
220 STANDIFORD AVE, STE F, MODESTO, CA 95350-1159
(209) 579-5628
(209) 579-5637
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A255191
CA
Other
Enumeration date
07/07/2006
Last updated
09/11/2013
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