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Contact Information

SUSAN C LOGAN, MD
1111 SONOMA AVENUE
SUITE 202
SANTA ROSA, CA95405
 Phone: 707-575-1626
 Fax: 707-575-3941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for SUSAN C LOGAN · (Female)

NPI # 1982716221
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2006
Last updated 01/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G69486
  • CA Medicaid 1982716221
  • CA Other P01350003 RAILROAD MEDICARE
Hospital affiliation(s)
  • CALIFORNIA PACIFIC MEDICAL CTR-DAVIES CAMPUS HOSP - (Acute Care)
    601 DUBOCE AVE
    SAN FRANCISCO, CA 94117
  • PETALUMA VALLEY HOSPITAL - (Acute Care)
    400 N MCDOWELL BLVD
    PETALUMA, CA 94954
  • SANTA ROSA MEMORIAL HOSPITAL - (Acute Care)
    1165 MONTGOMERY DR
    SANTA ROSA, CA 95405
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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