Individual
LOGAN GRANT MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8620
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(817) 702-1244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
U1966
TX
208M00000X
Hospitalist Physician
Primary
43475
OK
Other
Enumeration date
03/23/2021
Last updated
09/27/2025
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