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Individual

DR. LOGAN JON DANIELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1330 N WASHINGTON ST STE 1080, SPOKANE, WA 99201-2446
(509) 824-7327
Mailing address
2426 W CENTENNIAL PL, SPOKANE, WA 99201-3135
(208) 249-2678

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
20A20017
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
3961866
ID
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
OP61566334
WA

Other

Enumeration date
03/25/2017
Last updated
01/15/2025
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