Individual
DR. JAMES E LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381
Mailing address
855 N HILLSIDE ST, WICHITA, KS 67214-4913
(316) 685-1381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-24166
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155340A
—
KS
Enumeration date
04/05/2006
Last updated
01/06/2010
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