Logan Allen Susong is a student in an organized health care education training program in Dayton, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Logan Allen Susong NPI is 1083166086. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3555 SURRY RIDGE WAY
DAYTON, OH
ZIP 45424-012
Phone: (937) 235-2523
The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.