NPI 1114427234
John Logue, CPO
Practice location
- Address
- 4000 Old Court Rd STE 105a, Pikesville, MD 21208-2800
- Phone
- (443) 487-4394
- Fax
- (240) 482-8839
- Mailing address
- 3800 Glen Ave, Baltimore, MD 21215-3530
Registered specialties
Orthotist
Primary
Registry record
- NPI
- 1114427234
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 15 Feb 2018
- Record last updated
- 15 Feb 2018
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.