Individual
DR. LOGAN THOMAS POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9424 N 25TH AVE, PHOENIX, AZ 85021-2714
(602) 633-6900
Mailing address
9424 N 25TH AVE, PHOENIX, AZ 85021-2714
(602) 633-6900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002875
VA
152W00000X
Optometrist
Primary
OPT-002634
AZ
152W00000X
Optometrist
OPT.006804
OH
Other
Enumeration date
07/01/2019
Last updated
01/29/2023
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