Individual
ROBERT LOGSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.C.C.
Contact information
Practice address
1000 W BOISE CIR, BROKEN ARROW, OK 74012-4900
(918) 994-8000
Mailing address
1000 W BOISE CIR, BROKEN ARROW, OK 74012-4900
(918) 994-8000
Taxonomy
Speciality
Code
Description
License number
State
374K00000X
Religious Nonmedical Practitioner
Primary
61319
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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