Organization
PETER E. LOGERFO, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER EDWARD LOGERFO M.D. (PHYSICIAN)
(253) 548-0453
Entity
Organization
Contact information
Practice address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4264
(253) 548-0453
(253) 548-3049
Mailing address
11025 CANYON RD E, SUITE A, PUYALLUP, WA 98373-4268
(253) 548-0453
(253) 548-3049
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
09/28/2006
Last updated
02/13/2008
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