LOGAN ROLES

OKLAHOMA CITY, OK
NPI1720887169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5576)
Enumeration Date2025-03-10
Last Update Date2026-06-05
Business Address
LOGAN ROLES
9800 BROADWAY EXT STE 203
OKLAHOMA CITY, OK 73114-6304
Phone number: 405-424-5426
Mailing Address
LOGAN ROLES
9800 BROADWAY EXT STE 203
OKLAHOMA CITY, OK 73114-6304
Phone number: 405-424-5426
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