LOGAN P MARTIN

APO, AE
NPI1366121626
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2023-07-13
Last Update Date2023-11-02
Business Address
LOGAN P MARTIN IDMT
UNIT 6180
APO, AE 09604
Phone number: 314-632-1775
Mailing Address
LOGAN P MARTIN IDMT
PSC 103 BOX 4354
APO, AE 09603-0044
Phone number: 413-377-0150