Individual
LOGAN BRADEN RANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BARNES PLAZA, SAINT LOUIS, MO 63110-1003
(314) 747-3000
Mailing address
1 BARNES PLAZA, SAINT LOUIS, MO 63110-1003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2025020342
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2025
Last updated
06/23/2025
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