| Dr Logan Craig Walter, DO | |
|
4824 E Baseline Rd Ste 129, Mesa, AZ 85206-4679 | |
| (480) 644-1001 | |
| (480) 464-8722 |
| Full Name | Dr Logan Craig Walter |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 11 Years |
| Location | 4824 E Baseline Rd Ste 129, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750760187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | IN PROGRESS (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 8486 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sun Life Family Health Center Inc | 9335032275 | 49 |
| Entity Name | Sun Life Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891913166 PECOS PAC ID: 9335032275 Enrollment ID: O20040205000085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Logan Craig Walter, DO Po Box 748817, Atlanta, GA 30374-8817 Ph: (813) 286-0033 | Dr Logan Craig Walter, DO 4824 E Baseline Rd Ste 129, Mesa, AZ 85206-4679 Ph: (480) 644-1001 |
Mrs. Eericca Michelle Bickley, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-644-1002 | |
Casandra Ann Liggins, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1151 N Gilbert Rd, Mesa, AZ 85203 Phone: 602-358-8588 Fax: 602-688-6991 | |
Gregory D Layton, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4824 E Baseline Rd Ste 129, Mesa, AZ 85206 Phone: 480-644-1001 Fax: 480-464-8722 | |
Deanna Lynn Bullaro-anderer, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5304 E Southern Ave, Ste 110, Mesa, AZ 85206 Phone: 480-237-3040 Fax: 480-237-3049 | |
Andrew R Adamson, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 455 E 6th St, Mesa, AZ 85203 Phone: 480-844-4702 | |
Tamar K Gottfried, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1520 S Dobson Rd, Suite 316, Mesa, AZ 85202 Phone: 480-545-0059 Fax: 480-632-2134 | |
Marlin D. Mills, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1940 S Country Club Dr, Suite 102, Mesa, AZ 85210 Phone: 680-969-5999 Fax: 480-969-5610 |