DUSTIN LOGUE — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, LA)
DUSTIN LOGUE — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, LA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: DUSTIN LOGUE; Type: Individual; NPI: 1003146226.
| Name | DUSTIN LOGUE |
|---|---|
| Type | Individual |
| NPI | 1003146226 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | LA |
| Enrollment ID | I20100624000938 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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