NPI 1003117078

Mark E Logan MD PC

Organisation Addiction Medicine (Internal Medicine) Physician Rutland, VT

Practice location

Address: 199 Stratton Rd, Rutland, VT 05701-4621
Phone: (802) 775-7798
Fax: (802) 775-7762

Authorised official

Name: Mark E Logan
Title: Owner
Phone: (802) 775-7798

Registered specialties

Addiction Medicine (Internal Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RA0401X Licence 042-0006819 (VT)

Other Internal Medicine providers in Vermont →

Registry record

NPI: 1003117078
Entity type: Organization
NPI issued: 8 Nov 2010
Record last updated: 12 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.