Individual
ANGELA MARIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
695 CLAIRTON BLVD, PLEASANT HILLS, PA 15236-3811
(412) 653-5556
Mailing address
4651 DOVERDELL DR, PITTSBURGH, PA 15236-1866
(412) 260-6838
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061093
PA
Other
Enumeration date
09/23/2019
Last updated
05/17/2021
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