Dr LOGAN NICHOLAS NOCERINO is a male medical professional, specializing in Physician Assistant. He graduated in 2015.
CHOCTAW NATION OF OKLAHOMA
1 CHOCTAW WAY
TALIHINA
OK
745712022
Tel: 9185677000
| Npi | 1851763619 |
| Pac Id | 7618270315 |
| Professional Enrollment Id | I20190624000577 |
| Last Name | NOCERINO |
| First Name | LOGAN |
| Middle Name | NICHOLAS |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
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| Organization Legal Name | CHOCTAW NATION OF OKLAHOMA |
| Group Practice Pac Id | 1759294838 |
| Number Of Group Practice Members | 175 |
| Line 1 Street Address | 1 CHOCTAW WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TALIHINA |
| State | OK |
| Zip Code | 745712022 |
| Phone Number | 9185677000 |
| Hospital Affiliation Ccn 1 | 370172 |
| Hospital Affiliation Lbn 1 | CHOCTAW NATION HEALTH SERVICES AUTHORITY |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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