LOGAN ANDREW SHIVELY

CINCINNATI, OH
NPI1558907717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.006704)
Enumeration Date2019-11-22
Last Update Date2022-09-20
Business Address
LOGAN ANDREW SHIVELY PA
2139 AUBURN AVE
CINCINNATI, OH 45219-2906
Phone number: 513-792-7445
Mailing Address
LOGAN ANDREW SHIVELY PA
2139 AUBURN AVE
CINCINNATI, OH 45219-2906
Phone number: 513-792-7445
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