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Individual

LOGAN BRANDON THRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
3000 RIVERCHASE GALLERIA STE 500, HOOVER, AL 35244-2365
(205) 994-8811
Mailing address
3000 RIVERCHASE GALLERIA STE 500, HOOVER, AL 35244-2365
(205) 994-8811

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2018016309
AL

Other

Enumeration date
12/21/2018
Last updated
03/23/2019
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