Individual
LOGAN BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
140 W MAIN ST, SPRINGFIELD, OH 45502-1368
(317) 468-5505
Mailing address
140 W MAIN ST, SPRINGFIELD, OH 45502-1368
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004862
OH
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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