Individual
LOGAN BROOKE DUNCAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20099 OFFICE CIR STE 208, GEORGETOWN, DE 19947-3196
(302) 856-1773
Mailing address
20099 OFFICE CIR STE 208, GEORGETOWN, DE 19947-3196
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LG-0012141
DE
363L00000X
Nurse Practitioner
R227434
MD
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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