Individual
LOGAN JON MCSORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1211 EAGLE CREST DR, GREENWOOD, IN 46143-8325
(317) 519-7823
Mailing address
1211 EAGLE CREST DR, GREENWOOD, IN 46143-8325
(317) 519-7823
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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