LOGAN REVILL

TULSA, OK
NPI1386513703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: OK  R0133810)
Enumeration Date2025-11-03
Last Update Date2025-11-03
Business Address
LOGAN REVILL APRN
6161 S YALE AVE
TULSA, OK 74136-1902
Phone number: 918-494-2200
Mailing Address
LOGAN REVILL APRN
23003 E 104TH ST S
BROKEN ARROW, OK 74014-6256
Phone number: 918-760-6709