LOGAN GODDARD

SAN DIEGO, CA
NPI1144176686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
Enumeration Date2026-03-06
Last Update Date2026-03-06
Business Address
LOGAN GODDARD
34800 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 626-993-4243
Mailing Address
LOGAN GODDARD
34800 BOB WILSON DR
SAN DIEGO, CA 92134-5000
Phone number: 626-993-4243