Dr Stewart Reese Logan, MD | |
5575 Ruffin Rd Ste 100, San Diego, CA 92123-1361 | |
(858) 277-2744 | |
(858) 277-3085 |
Full Name | Dr Stewart Reese Logan |
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Gender | Male |
Speciality | General Practice |
Location | 5575 Ruffin Rd Ste 100, San Diego, California |
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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1538656202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | A167320 (California) | Primary |
Entity Name | Robert Marriott Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083883938 PECOS PAC ID: 2567531494 Enrollment ID: O20080519000660 |
Entity Name | American Current Care Of California A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750573622 PECOS PAC ID: 5799854303 Enrollment ID: O20080522000420 |
Mailing Address | Practice Location Address |
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Dr Stewart Reese Logan, MD 100 Park Plz Apt 517, San Diego, CA 92101-6742 Ph: (601) 826-6669 | Dr Stewart Reese Logan, MD 5575 Ruffin Rd Ste 100, San Diego, CA 92123-1361 Ph: (858) 277-2744 |
Dr. Paul Charles Campbell, PAUL CAMPBELL D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Jessica A Poulson, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 Phone: 703-928-2831 | |
Ernest Peter Kotsos, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 10172 Pinecastle St, San Diego, CA 92131 Phone: 858-689-4981 | |
Simon David Marian, DO General Practice Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 757-448-5630 | |
Dr. Jamison Derek Feramisco, MD, PHD General Practice Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476 | |
Brighid Hayes Simmons, D.O. General Practice Medicare: Medicare Enrolled Practice Location: 601 Mccain Blvd, San Diego, CA 92134 Phone: 602-570-3947 | |
Nathan C Hawkes, General Practice Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 800-731-1394 |