Logan Gull, DPM | |
2300 Nw Stewart Pkwy, Roseburg, OR 97471-1597 | |
(541) 680-4165 | |
Not Available |
Full Name | Logan Gull |
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Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 2300 Nw Stewart Pkwy, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528641412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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213ES0103X | Podiatrist - Foot & Ankle Surgery | DP220035 (Oregon) | Primary |
Provider Name | Roseburg Foot & Ankle Specialists Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851622153 PECOS PAC ID: 1355477266 Enrollment ID: O20100330001195 |
Mailing Address | Practice Location Address |
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Logan Gull, DPM 2300 Nw Stewart Pkwy, Roseburg, OR 97471-1597 Ph: (208) 589-6136 | Logan Gull, DPM 2300 Nw Stewart Pkwy, Roseburg, OR 97471-1597 Ph: (541) 680-4165 |
Micah D Tovey, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
G Jason Wilks, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave Ste 201, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553 | |
Dr. Brandon Wallace Bishop, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy, Ste. 100, Roseburg, OR 97471 Phone: 541-229-2663 Fax: 541-229-0213 | |
Dr. Cordell Becker Smith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 | |
Wilks Advanced Foot Care Podiatrist Medicare: Medicare Enrolled Practice Location: 2564 Nw Edenbower Blvd, Ste 142, Roseburg, OR 97471 Phone: 541-673-0742 Fax: 541-673-7553 | |
Kash K. Siepert, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 2300 Nw Stewart Pkwy, Roseburg, OR 97471 Phone: 541-673-7322 Fax: 541-673-3615 |