LOGAN ROLES

SHAWNEE, OK
NPI1720887169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  5576)
Enumeration Date2025-03-10
Last Update Date2025-07-30
Business Address
LOGAN ROLES
1102 W MACARTHUR ST
SHAWNEE, OK 74804-1743
Phone number: 405-273-2270
Mailing Address
LOGAN ROLES
1102 W MACARTHUR ST
SHAWNEE, OK 74804-1743
Phone number: 405-273-2270
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