Most Relevant Information
Provider Data
| NPI Number: | 1003421603 |
| Provider Name: | LOGAN MICHAEL BARKLEY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/10/2020 |
| Last Updated: | 03/28/2023 |
Provider Practice Location
2560 24TH ST STE 201
ROCK ISLAND
IL
612015390
Practice Location Phone/Fax
| Phone: | 3097793111 |
| Fax: |
Provider Mailing Location
2650 WARRENVILLE RD STE 280
DOWNERS GROVE
IL
605152075
Provider Mailing Phone/Fax
| Phone: | 6303247934 |
| Fax: |