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Individual

LOGAN ROKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5338
(601) 814-4112
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5338

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
341872
LA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/13/2020
Last updated
12/26/2024
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