Individual
LOGAN E MAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ABRAHAM FLEXNER WAY, SUITE 100, LOUISVILLE, KY 40202-3841
(502) 587-8222
(502) 587-0860
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 587-8222
(502) 587-0860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47966
KY
Other
Enumeration date
04/08/2009
Last updated
09/15/2015
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