Individual
MS. LOGAN M RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 CASS AVE, WOONSOCKET, RI 02895-4705
(512) 730-3060
(888) 730-1925
Mailing address
7500 RIALTO BLVD STE 1-140, AUSTIN, TX 78735-8534
(512) 730-3060
(888) 730-1925
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA001289
ME
363AM0700X
Medical Physician Assistant
Primary
PA00771
RI
Other
Enumeration date
08/12/2011
Last updated
12/30/2015
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