Search › Oklahoma › 175T00000X
Logan Southwell
NPI 1851146229 · on the registry since 2024
Practice
- Address
- 1601 Gordon Cooper Dr
Shawnee, OK 74801 - Phone
- (405) 878-3854
- Fax
- (405) 273-1752
- Organisation at this address
- Team Clinics Ah Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Sex
- Male
- Record last updated
- 2024-04-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma