Organization
LOGAN BUNDY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOGAN KEITH BUNDY MD (OWNER)
(805) 524-6700
Entity
Organization
Contact information
Practice address
533 SESPE AVE, SUITE B, FILLMORE, CA 93015-1985
(805) 524-6700
(805) 524-6707
Mailing address
533 SESPE AVE, SUITE B, FILLMORE, CA 93015
(805) 524-6700
(805) 524-6707
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
G30561
CA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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