RYAN LOGUE

INDIANAPOLIS, IN
NPI1093178477
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine Pulmonary Disease
(Licence: IN  01087732A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2016-04-01
Last Update Date2024-07-22
Business Address
RYAN LOGUE
8040 CLEARVISTA PKWY STE 440
INDIANAPOLIS, IN 46256-4673
Phone number: 317-621-5510
Mailing Address
RYAN LOGUE
6626 E 75TH ST STE 500
INDIANAPOLIS, IN 46250-2890
Phone number: 317-621-7547