| Logan Grant Mills, MD | |
| 
					3401 W Gore Blvd, Lawton, OK 73505-6332  | |
| (580) 355-8620 | |
| Not Available | 
| Full Name | Logan Grant Mills | 
|---|---|
| Gender | Male | 
| Speciality | Hospitalist | 
| Location | 3401 W Gore Blvd, Lawton, Oklahoma | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639755101 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208M00000X | Hospitalist | 43475 (Oklahoma) | Primary | 
| 207Q00000X | Family Medicine | U1966 (Texas) | Secondary | 
| Entity Name | Comanche County Healthcare Corporation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053352690 PECOS PAC ID: 0749192433 Enrollment ID: O20031106000742  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Logan Grant Mills, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (817) 702-1244  | Logan Grant Mills, MD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 355-8620  | 
Alexander F Degazon, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 5602 Sw Lee Blvd, Southwest Medical Center, Lawton, OK 73505 Phone: 580-531-4700  | |
Antony Vincent Mancheril, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8620  | |
Pamela J Barry Duguid, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3201 W Gore Blvd, Suite 202, Lawton, OK 73505 Phone: 580-355-6731 Fax: 580-250-5806  |