Provider Demographics
NPI:1710187026
Name:LOGAN, JULIA SHERK (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:SHERK
Last Name:LOGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2030 SUTTER PL
Mailing Address - Street 2:SUITE 2000
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95616-6201
Mailing Address - Country:US
Mailing Address - Phone:530-750-5800
Mailing Address - Fax:530-750-5804
Practice Address - Street 1:2030 SUTTER PL
Practice Address - Street 2:SUITE 2000
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-6201
Practice Address - Country:US
Practice Address - Phone:530-750-5800
Practice Address - Fax:530-750-5804
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA100562207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine