Zachary Logan
Zachary Logan is a Family Practice in Mesa, Arizona. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Arizona and Tennessee.
- Years since qualifying
- 9
- Licensed in
- AZ, TN
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
6843 E Main StMesa, AZ 85207-8207
Phone: (480) 870-7300
Fax: (480) 870-7302
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
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 67357 (AZ) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 59949 (TN) |
Record details
| NPI number | 1538521620 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 28, 2016 |
| Last updated in NPPES | September 6, 2022 |
| Certification date | September 6, 2022 |
| Mailing address | 102 Woodmont Blvd Ste 600, Nashville, TN 37205-5250 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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