National Provider Identifier

Rodney D Logan, MD

Rodney D Logan, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Perry, NY and a listed phone number of (585) 237-3227.

NPI 1811989015Perry, NYFamily Medicine Physician

Profile Overview

NPI
1811989015
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
August 16, 2005
Last Updated
October 26, 2011

Practice Location

  • 3 Handley St
  • Perry, NY 14530-1342

Phone: (585) 237-3227

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1811989015
Entity Type
Individual
Last Name
Logan
First Name
Rodney
Middle Name
D
Name Prefix
Mr.
Credential
MD
Mailing Street Address
3 Handley St
Mailing City
Perry
Mailing State
NY
Mailing ZIP Code
14530-1342
Mailing Country
US
Mailing Phone
(585) 237-3227
Mailing Fax
(585) 237-6075
Practice Street Address
3 Handley St
Practice City
Perry
Practice State
NY
Practice ZIP Code
14530-1342
Practice Country
US
Practice Phone
(585) 237-3227
Practice Fax
(585) 237-6075
Enumeration Date
August 16, 2005
Last Updated
October 26, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
00604140 (NY)