MALLORY LOGSDON, PA-C

Physician Assistant

Active Individual
NPI: 1306183090

Practice Address

5507 S CONGRESS AVE
SUITE 140
Lake Worth, FL 33462

Phone: (561) 965-6685

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA9106949 (FL)

Frequently Asked Questions

NPI 1306183090 is the National Provider Identifier for MALLORY LOGSDON, PA-C, a Physician Assistant provider located in Lake Worth, FL. This NPI was enumerated on January 15, 2013.
MALLORY LOGSDON, PA-C practices at 5507 S CONGRESS AVE, SUITE 140, Lake Worth, FL 33462.

Quick Facts

NPI
1306183090
Type
Individual
Enumerated
Jan 15, 2013
Last Updated
Jan 27, 2014

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