| Logan Gastroenterology | |
|
6 Woodcrest Ln Charleston WV 25314-2472 | |
| (304) 792-1122 | |
| Not Available |
| Full Name | Logan Gastroenterology |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 6 Woodcrest Ln, Charleston, West Virginia |
| Authorized Official Name and Position | Bassam Haffar (OWNER) |
| Authorized Official Contact | 3047921122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Logan Gastroenterology 77 Hospital Dr Logan WV 25601-3451 Ph: (304) 792-1122 | Logan Gastroenterology 6 Woodcrest Ln Charleston WV 25314-2472 Ph: (304) 792-1122 |
| NPI Number | 1760691596 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760691596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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