Individual
DR. LOGAN CRAIG WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4824 E BASELINE RD STE 129, MESA, AZ 85206-4679
(480) 644-1001
(480) 464-8722
Mailing address
PO BOX 748817, ATLANTA, GA 30374-8817
(813) 286-0033
(813) 282-1806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8486
AZ
208600000X
Surgery Physician
IN PROGRESS
MI
Other
Enumeration date
05/18/2015
Last updated
11/20/2025
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