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Individual

LOGAN ALAN ASAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 E UNIVERSITY PKWY, 33RD ST BUILDING, SUITE 226, BALTIMORE, MD 21218-2829
(410) 554-2651
Mailing address
201 E UNIVERSITY PKWY, 33RD ST BUILDING, SUITE 226, BALTIMORE, MD 21218-2829

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
R191185
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R191185
MD

Other

Enumeration date
10/19/2016
Last updated
04/19/2024
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