Individual
LOGAN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Mailing address
840 E UNIVERSITY AVE, DES MOINES, IA 50316-2304
(515) 265-4211
(515) 309-5993
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-10352
IA
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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