NPI 1063401453

Christi Marie Logan, RD

Practitioner Registered Dietitian Elmendorf Afb, AK

Practice location

Address: 5955 Zeamer Ave 3 Mdss Sgsd, Elmendorf Afb, AK 99506-3702
Phone: (907) 580-4316
Fax: (907) 580-5523

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 873583 (MI)

Other Dietitian, Registered providers in Alaska →

Registry record

NPI: 1063401453
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2005
Record last updated: 8 Jul 2007

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.