NPI 1750216529

Brooke Logan

Practitioner Specialist Plymouth Meeting, PA

Practice location

Address: 346 Oxford Rd, Plymouth Meeting, PA 19462-7170
Phone: (602) 828-0865

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1750216529
Entity type: Individual
Sex (as registered): X
NPI issued: 15 Jun 2026
Record last updated: 15 Jun 2026

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.