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Bryan Logan, FNP
NPI 1548450349 · on the registry since 2007
Practice
- Address
- 155 Village Drive
Sparta, MO 65673 - Phone
- (417) 634-4203
- Fax
- (417) 634-4505
- Organisation at this address
- Sgoh Acquisition, Inc.
Bridges Medical Services P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-13
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