Individual
LOGAN SCOTT MCDANEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1000
Mailing address
3180 JILL AVE, GRANITE CITY, IL 62040-5029
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2023044266
MO
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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