Individual
DR. JIM WESLEY LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
519 E FRANKLIN, WEATHERFORD, OK 73096-5337
(580) 772-1612
(580) 772-0062
Mailing address
519 E FRANKLIN, WEATHERFORD, OK 73096-5337
(580) 772-1612
(580) 772-0062
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
OK3319
OK
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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