Organization
SOUTHERN OHIO RADIOLOGISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT LOGAN MD (PRESIDENT)
(740) 354-5000
Entity
Organization
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(740) 354-5000
Mailing address
L-2603, PO BOX 600001, COLUMBUS, OH 43260-0001
(866) 871-7822
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2478162
—
OH
05
—
6593462200
—
KY
Enumeration date
07/22/2005
Last updated
11/13/2007
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