National Provider Identifier
Logan Keith Walker, MD
Logan Keith Walker, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (407) 461-9030.
Profile Overview
- NPI
- 1912535113
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 01, 2020
- Last Updated
- August 24, 2023
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3098
Phone: (407) 461-9030
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1912535113
- Entity Type
- Individual
- Last Name
- Walker
- First Name
- Logan
- Middle Name
- Keith
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3098
- Mailing Country
- US
- Mailing Phone
- (407) 461-9030
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3098
- Practice Country
- US
- Practice Phone
- (407) 461-9030
- Enumeration Date
- April 01, 2020
- Last Updated
- August 24, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)