National Provider Identifier

Logan James Slother

Logan James Slother is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (412) 418-0231.

NPI 1689442709Buffalo, NYPhysician Assistant

Profile Overview

NPI
1689442709
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
December 18, 2023
Last Updated
December 18, 2023

Practice Location

  • 266 Bryant St Apt 3A
  • Buffalo, NY 14222-2074

Phone: (412) 418-0231

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1689442709
Entity Type
Individual
Last Name
Slother
First Name
Logan
Middle Name
James
Mailing Street Address
266 Bryant St Apt 3A
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-2074
Mailing Country
US
Practice Street Address
266 Bryant St Apt 3A
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2074
Practice Country
US
Practice Phone
(412) 418-0231
Enumeration Date
December 18, 2023
Last Updated
December 18, 2023
Sex
Male
Sole Proprietor
No
Certification Date
December 18, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)