Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Logan Palko

Individual provider Physician Assistant · NPI 1053215368

Logan Palko is a Physician Assistant in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2026.

Licensed in
PA
In the registry since
2026

Practice location Address checks out

1 Convention Ave
Philadelphia, PA 19104-4311
Phone: (267) 862-3491
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA068397 (PA)

Record details

NPI number1053215368
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2026
Last updated in NPPESOctober 8, 2026
Certification dateOctober 8, 2026

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