Organization
SURGICAL SPINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LOGAN M.D. (MEMBER)
(985) 871-4114
Entity
Organization
Contact information
Practice address
29301 N. DIXIE RANCH ROAD, LACOMBE, LA 70445-2290
(985) 871-4114
(985) 871-4130
Mailing address
29301 N. DIXIE RANCH ROAD, LACOMBE, LA 70445-2290
(985) 871-4114
(985) 871-4130
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
01/23/2008
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