Individual
LOGAN SPRANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1723 BROADWAY ST STE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
Mailing address
258 MEDDLETON DR, JACKSON, MO 63755-7189
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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