Individual
BROOKE LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
346 OXFORD RD, PLYMOUTH MEETING, PA 19462-7170
(602) 828-0865
Mailing address
346 OXFORD RD, PLYMOUTH MEETING, PA 19462-7170
(602) 828-0865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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