Individual
LOGAN PAUL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1225
(402) 401-5121
Mailing address
981225 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1225
(402) 401-5121
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
9628
NE
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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