Dr LOGAN TAYLOR is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2015.
GOOD SAMARITAN REGIONAL HEALTH CENTER
1 GOOD SAMARITAN WAY
MOUNT VERNON
IL
628642402
Tel: 6188994600
| Npi | 1972962561 |
| Pac Id | 5890088611 |
| Professional Enrollment Id | I20160801000872 |
| Last Name | TAYLOR |
| First Name | LOGAN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | GOOD SAMARITAN REGIONAL HEALTH CENTER |
| Group Practice Pac Id | 1658272059 |
| Number Of Group Practice Members | 70 |
| Line 1 Street Address | 1 GOOD SAMARITAN WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MOUNT VERNON |
| State | IL |
| Zip Code | 628642402 |
| Phone Number | 6188994600 |
| Hospital Affiliation Ccn 1 | 140046 |
| Hospital Affiliation Lbn 1 | SSM HEALTH - GOOD SAMARITAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 140294 |
| Hospital Affiliation Lbn 2 | CROSSROADS COMMUNITY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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