Doctor Name: | MS. ROBYN F LOGG |
NPI Number: | 1124247614 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | R023657 |
Business Practice Address: | 317 North Main Eagle Butte, SD - 57625 |
Business Phone Number: | 6059643007 |
Business Fax Number: | 6059641156 |
Mailing Address: | Po Box 906, EAGLE BUTTE |
State: | SD |
Postal Code: | 576250906 |
Phone Number: | 6059642324 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | R023657 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |