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1396409173
LOGAN PEDIATRICS, INC
LOGAN, WV
NPI
1396409173
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Entity Type
Organization
Authorized Contact
OKPANI MARTIN NNACHI
Medical Director
304-831-0073
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2021-10-27
Last Update Date
2021-10-27
Business Address
LOGAN PEDIATRICS, INC
300 PROSPERITY LANE SUITE 100
LOGAN, WV 25601
Phone number: 304-831-0073
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Mailing Address
LOGAN PEDIATRICS, INC
300 PROSPERITY LANE SUITE 100
LOGAN, WV 25601
Phone number: 304-831-0073
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