Individual
LOGAN PEERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6403 CARRIE LN, MIAMI, AZ 85539-8602
(928) 812-2750
Mailing address
6403 CARRIE LN, MIAMI, AZ 85539-8602
(928) 812-2750
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
AZ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AZ
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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