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MR. LOGAN ANDREW PHELPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5782
Mailing address
115 MEGQUIER HILL RD, POLAND, ME 04274-7537
(419) 944-9102

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA1934
ME

Other

Enumeration date
05/31/2019
Last updated
05/31/2019
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