| Bryan L Logan, FNP | |
| 
					155 Village Drive, Sparta, MO 65673  | |
| (417) 634-4203 | |
| (417) 634-4505 | 
| Full Name | Bryan L Logan | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 155 Village Drive, Sparta, Missouri | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1548450349 | NPI | - | NPPES | 
| 427457205 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 127563 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bryan L Logan, FNP Po Box 183, Sparta, MO 65753-0183 Ph: (417) 634-4203  | Bryan L Logan, FNP 155 Village Drive, Sparta, MO 65673 Ph: (417) 634-4203  | 
Tara N Loveland, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203 Fax: 417-634-4505  | |
Katrina Lea Selsor, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203 Fax: 417-634-4505  | |
Taylor Lauren Heath, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Village Dr, Sparta, MO 65753 Phone: 417-634-4203  |