Individual
PETER E LOGERFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PLLC
Contact information
Practice address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4264
(253) 548-0453
(253) 268-0500
Mailing address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4268
(253) 548-0453
(253) 268-0500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036213
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7117492
—
WA
Enumeration date
06/16/2005
Last updated
10/18/2017
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