Logan David Driscoll

NPI #1184264921 in Clive, Iowa

Provider Information

NPI Number
1184264921
Entity Type
Individual
Name
Logan David Driscoll
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Enumeration Date
Jan 9, 2020
Last Updated
Aug 23, 2021

Practice Location

Address
12499 UNIVERSITY AVE STE 210
City
Clive
State
Iowa
ZIP Code
50325-8288
Phone
(515) 440-2676

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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