| 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 |