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Logan Wahl

NPI 1083508394 · on the registry since 2025

Practice

Address
2463 E Gala St
Meridian, ID 83642
Phone
(208) 955-7333
Clinicians at this address
34

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho