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Search › Missouri › 2255A2300X

Logan Benedict

NPI 1508588088 · on the registry since 2022

Practice

Address
1155 W Parkview St
Bolivar, MO 65613
Phone
(417) 777-7763
Organisation at this address
Citizens Memorial Healthcare
Citizens Memorial Healthcare Clinics
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-11-06

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 Missouri