Dr AVIS ETTA LOGAN is a female medical professional, specializing in Family Medicine. She graduated in 1990 from University Of California, Davis School Of Medicine.
JOHN MUIR PHYSICIAN NETWORK
3100 SAN PABLO AVE
BERKELEY
CA
947022498
Tel:
| Npi | 1235102252 |
| Pac Id | 6507939295 |
| Professional Enrollment Id | I20080714000209 |
| Last Name | LOGAN |
| First Name | AVIS |
| Middle Name | ETTA |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | JOHN MUIR PHYSICIAN NETWORK |
| Group Practice Pac Id | 6608789813 |
| Number Of Group Practice Members | 370 |
| Line 1 Street Address | 3100 SAN PABLO AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | BERKELEY |
| State | CA |
| Zip Code | 947022498 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 050043 |
| Hospital Affiliation Lbn 1 | ALTA BATES SUMMIT MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050305 |
| Hospital Affiliation Lbn 2 | ALTA BATES SUMMIT MEDICAL CENTER - ALTA BATES CAMP |
| Hospital Affiliation Ccn 3 | 050488 |
| Hospital Affiliation Lbn 3 | EDEN MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | 050180 |
| Hospital Affiliation Lbn 4 | JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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