Individual
DR. JAMES SCOTT LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 272-1731
(580) 272-1720
Mailing address
530 N MONTE VISTA ST, SUITE A, ADA, OK 74820-4675
(580) 436-7101
(580) 436-4447
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
G2179
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
12427
OK
208600000X
Surgery Physician
12427
OK
Other
Enumeration date
06/11/2009
Last updated
01/07/2015
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