Mark Edward Logan
Mark Edward Logan is an Independent Duty Corpsman in Chincoteague, Virginia. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3823 Main StChincoteague, VA 23336-1857
Phone: (757) 336-2844
Fax: (757) 336-2811
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1457022998 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 24, 2021 |
| Last updated in NPPES | September 24, 2021 |
| Certification date | September 24, 2021 |
| Mailing address | 3823 Main St, Chincoteague, VA 23336-1857 |
Other providers in Chincoteague
-
Justin Wolfe Horschel, USCGIDHS
3823 Main St, Chincoteague, VA 23336-1857 · (254) 423-2767