Female

Logan Mims MD

Family Medicine Physician in Moses Lake, WA(View on Map)

Full Name

Logan Mims MD

NPI Number

1427411651

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/04/2016

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Colorado
Washington

License Number

DR.0062186
MD61113448

Contact
Information

Purpose

Mailing
Location

Address

605 S COOLIDGE ST
605 S COOLIDGE ST

City

Moses Lake
Moses Lake

State

WA
WA

Postal Code

98837-1873
98837-1873

Country

US
US

Telephone Number

(509) 765-0674
(509) 765-0674

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/16/2021

Provider Address

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