Individual
ALEXANDER JOHN LOGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515
(540) 818-6519
Mailing address
5801 FORT AVE, LYNCHBURG, VA 24502-1927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003243
VA
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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