Search › Missouri › 2355S0801X
Logan Burgess
NPI 1649005331 · on the registry since 2024 · sole proprietor
Practice
- Address
- 15600 Old Halls Ferry Rd
Florissant, MO 63034 - Phone
- (314) 953-4050
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-09-03
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