Healthcare Provider Details
I. General information
NPI: 1730018847
Provider Name (Legal Business Name): LOGAN SAVITS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3421 W 9TH ST
WATERLOO IA
50702-5401
US
IV. Provider business mailing address
215 SW HERITAGE LN
ANKENY IA
50023-2572
US
V. Phone/Fax
- Phone: 319-272-5000
- Fax:
- Phone: 515-450-9074
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | IA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: