Individual
DR. DANIEL E LOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6666 W PEORIA AVE, 114, GLENDALE, AZ 85302-7014
(623) 776-2991
(623) 776-0377
Mailing address
6666 W PEORIA AVE, 114, GLENDALE, AZ 85302-7014
(623) 776-2991
(623) 776-0377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4288
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0932260
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
AZ
Enumeration date
12/22/2006
Last updated
04/18/2011
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