Logan Gull, DPM | |
1900 Woodland Dr, Coos Bay, OR 97420-2099 | |
(541) 267-5151 | |
(541) 266-4506 |
Full Name | Logan Gull |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 1900 Woodland Dr, Coos Bay, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528641412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | DP220035 (Oregon) | Primary |
Provider Name | North Bend Medical Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407812365 PECOS PAC ID: 5597677716 Enrollment ID: O20031105000138 |
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 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 | Logan Gull, DPM 1900 Woodland Dr, Coos Bay, OR 97420-2099 Ph: (541) 267-5151 |
Ryan D Pederson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4506 | |
Oregon Coast Wound Center Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1610 Thompson Rd, Coos Bay, OR 97420 Phone: 541-329-2555 Fax: 971-233-3243 |