Logan John Archambault Valid NPI

Individual provider · Internal Medicine Physician · Phoenix, AZ

NPI

1235759937

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

0010228 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2020-04-22

Last updated

2023-08-31