Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN RECKORD SMITH, PA-C
ActiveLOGAN RECKORD SMITH, PA-C is a Physician Assistant healthcare provider located in VOORHEES, New Jersey. NPI 1962805432 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · VOORHEES, NJ
Registration Details
- NPI Number
- 1962805432
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 29, 2014 (11.847329832841 yrs)
- Last Updated
- Sep 29, 2014
- License
-
25MP00345600 (NJ)
Practice Information
- Address
-
900 CENTENNIAL BLVD#202VOORHEES, NJ, 080434637Browse NJ providers · Browse ZIP 08043
- Phone
- 8563422034
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in VOORHEES, NJ
| Name | Credential | NPI |
|---|---|---|
| JENNIFER N ROGERS | PA-C | 1871593012 |
| JAMES A. PRATTA | PA | 1326095480 |
| KATHLEEN DORAN | PA-C | 1255371555 |
| MR. MICHAEL J LANZISERA | PA-C | 1407890403 |
| JOHN J. RYAN | PA-C | 1548298268 |
| STEPHANIE A GODBOLD | PA C | 1053498956 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.