RYAN WILLIAM LOGAN

MIAMI BEACH, FL
NPI1962030189
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9113132)
Enumeration Date2020-04-01
Last Update Date2020-04-01
Business Address
RYAN WILLIAM LOGAN
1250 LINCOLN RD APT 504
MIAMI BEACH, FL 33139-2255
Phone number: 786-389-0977
Mailing Address
RYAN WILLIAM LOGAN
1250 LINCOLN RD APT 504
MIAMI BEACH, FL 33139-2255
Phone number: 786-389-0977