Individual
DR. DOUGLAS K. LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7826 COOPER RD, CINCINNATI, OH 45242-7619
(513) 984-1000
(513) 985-2182
Mailing address
764 SAINT THOMAS CT, CINCINNATI, OH 45230-3872
(513) 231-7229
(513) 579-0444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
43241
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0442551
—
OH
Enumeration date
05/10/2007
Last updated
07/08/2007
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