NPI 1467450767

Brian J Logue, MD

Practitioner Urology Physician Bloomington, IN

Practice location

Address: 2907 S McIntire Dr, Bloomington, IN 47403-4224
Phone: (812) 332-8765
Fax: (812) 336-3425
Mailing address: 2907 McIntyre Dr, Bloomington, IN 47403-4209

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 01037620A (IN)

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Registry record

NPI: 1467450767
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2005
Record last updated: 18 Feb 2025

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.