Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 032581 | OH |
NPI | 1013915842 |
---|---|
Provider Name | Dr. Owen W Logee |
First Address | Wooster, OH 44691-7127 |
Second Address | Wooster, OH 44691-7127 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 29/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0337077 | (05) | OH |
A76245 | (02) |