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1235663352
LOGAN STARK
CHARLOTTE, NC
NPI
1235663352
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 227563)
Enumeration Date
2017-04-14
Last Update Date
2017-04-14
Business Address
-- LOGAN STARK MD
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
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Mailing Address
-- LOGAN STARK MD
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-355-3181
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