Dr. Jonathan Scott Logan, DPM
Podiatrist in Willoughby, OH. Individual provider (NPI-1).
NPI number1457464927
StatusActive
Last updated in NPPESApr 16, 2019
Details
- NPI
- 1457464927
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jonathan Scott Logan
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Apr 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213E00000X | Podiatrist | 36-003242 | OH | Yes |
Practice location
35000 Kaiser CtWilloughby, OH 44094-3382
Phone 440-269-4010
Mailing address
35000 Kaiser CtWilloughby, OH 44094-3382
Phone 440-269-4600
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