JEREMY D LOGSDON

ALVA HOSPITAL AUTHORITY

Dr JEREMY D LOGSDON is a male medical professional, specializing in Nurse Practitioner. He graduated in 2019.

Contact

ALVA HOSPITAL AUTHORITY

800 SHARE DR
ALVA
OK
737173618

Tel: 5804303389

JEREMY D LOGSDON Information

Npi 1013574789
Pac Id 1658608880
Professional Enrollment Id I20190812001791
Last Name LOGSDON
First Name JEREMY
Middle Name D
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2019
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ALVA HOSPITAL AUTHORITY
Group Practice Pac Id 5597755306
Number Of Group Practice Members 8
Line 1 Street Address 800 SHARE DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALVA
State OK
Zip Code 737173618
Phone Number 5804303389
Hospital Affiliation Ccn 1 371341
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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