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Individual
LOGAN MCGUFFEY
Active
Individual
LOGAN MCGUFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2014018335
MO
208800000X
Urology Physician
Primary
31523
NE
Other
Enumeration date
06/24/2014
Last updated
01/06/2022
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