Organization
LOGAN & PETERSON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN E. PETERSON MD.. (VP,TREASURER)
(816) 842-2500
Entity
Organization
Contact information
Practice address
428 W 42ND ST, KANSAS CITY, MO 64111-3176
(816) 842-2500
(816) 842-9980
Mailing address
428 W 42ND ST, KANSAS CITY, MO 64111-3176
(816) 842-2500
(816) 842-9980
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MDR5P
MO
261QM2500X
Medical Specialty Clinic/Center
R7B57
MO
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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