Individual
GREGORY L OGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
920 SOUTH OAK STREET, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7100
(641) 648-7095
Mailing address
920 SOUTH OAK STREET, SUITE 1, IOWA FALLS, IA 50126-9506
(641) 648-7100
(641) 648-7095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03203
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1202879
—
IA
01
—
23278
WELLMARK
IA
Enumeration date
08/14/2006
Last updated
07/10/2020
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