Phillip K Logsdon is a Champaign, Illinois based male podiatrist who is specialized in Podiatry. Active license number of Phillip K Logsdon for Podiatry is 016003166 in Illinois. Phillip K Logsdon is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Phillip K Logsdon speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Male
Practice Address:
1802 S. Mattis Avenue, Orthopedics, Champaign, Illinois, 61821
Phone:
217-383-3260
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1043230089
NPI Enumeration Date:
20 Jul, 2006
NPI Last Update On:
07 May, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Phillip K Logsdon are as mentioned below.
License Number
Specialization
State
Status
016003166
Podiatry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Phillip K Logsdon such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
480014262
Other
Illinois
RAILROAD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
611 W Park St, Bwpc Urbana, Illinois
Zip:
61801-2529
Phone Number:
217-383-6792
Fax Number:
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Patients can reach Phillip K Logsdon at 1802 S. Mattis Avenue, Orthopedics, Champaign, Illinois or can call to book an appointment on 217-383-3260. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.