Individual
CLARE M LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
UNIVERSITY FAMILY PHYSICIANS INC, 141 HEALTH PROFESSIONS BUILDING, CINCINNATI, OH 45267-0001
(513) 558-4021
(513) 558-3030
Mailing address
2830 VICTORY PKWY STE 120, CINCINNATI, OH 45206-1786
(513) 245-3052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.000435
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50.000435
STATE PA REGISTRATION NUM
OH
01
—
NCCPA 890815
NATIONAL PA CERTIFICATION
—
Enumeration date
10/12/2006
Last updated
08/25/2008
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