LOGAN DAVID DRISCOLL

CLIVE, IA
NPI1184264921
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-01-09
Last Update Date2021-08-23
Business Address
LOGAN DAVID DRISCOLL
12499 UNIVERSITY AVE STE 210
CLIVE, IA 50325-8288
Phone number: 515-440-2676
Mailing Address
LOGAN DAVID DRISCOLL
1005 NE CYPRESS CIR
GRIMES, IA 50111-1241
Phone number: 515-991-6227
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