Individual
LOGAN BONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-1045
Mailing address
540 ILLINOIS ST, PAWNEE, OK 74058-2036
(918) 762-1045
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
About Stedi
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