LOGAN COLVIS

CARBONDALE, IL
NPI1720826506
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.010504)
Enumeration Date2024-07-17
Last Update Date2024-07-17
Business Address
LOGAN COLVIS PA-C
101 S WALL ST
CARBONDALE, IL 62901-3021
Phone number: 618-519-9200
Mailing Address
LOGAN COLVIS PA-C
109 CALIFORNIA ST PO BOX 577
CARTERVILLE, IL 62918
Phone number: 618-519-9200
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