Individual
DR. TODD WILLIAM LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3344 N FUTRALL DR, FAYETTEVILLE, AR 72703-4057
(479) 443-5316
(479) 582-7329
Mailing address
PO BOX 1523, FAYETTEVILLE, AR 72702-1523
(479) 571-6038
(479) 582-0222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E4461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
157353001
—
AR
01
—
5N276
ARK. BCBS
AR
01
—
P00257008
RR MEDICARE
AR
Enumeration date
02/23/2006
Last updated
08/12/2024
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