Individual
LOGAN ALAN MCCLAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(660) 287-3558
Mailing address
30740 LEE RD, SEDALIA, MO 65301-1757
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D021240001
MO
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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