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1538656202
STEWART REESE LOGAN
SAN DIEGO, CA
NPI
1538656202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: CA A167320)
Enumeration Date
2018-04-18
Last Update Date
2023-06-03
Business Address
Dr. STEWART REESE LOGAN MD
5575 RUFFIN RD STE 100
SAN DIEGO, CA 92123-1361
Phone number: 858-277-2744
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Mailing Address
Dr. STEWART REESE LOGAN MD
100 PARK PLZ APT 517
SAN DIEGO, CA 92101-6742
Phone number: 601-826-6669
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