OrganizationActive
Mark E Logan MD PC
NPI 1003117078 · Addiction Medicine (Internal Medicine) Physician · Rutland, VT
Provider details
- NPI number
- 1003117078
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mark Logan, Owner(802) 775-7798
- License
- 042-0006819 (VT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
199 Stratton Rd
Rutland, VT 05701-4621
Phone: (802) 775-7798
Fax: (802) 775-7762
Approximate (ZIP-level) locationGet directions
Mailing address
199 Stratton Rd
Rutland, VT 05701-4621
Other names (DBA / former)
- Doing business as
- Green Mountain Family Medicine
Registry dates
- Enumerated
- 2010-11-08
- Last updated
- 2015-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.