Individual
LOGAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2321 TROOST AVE, KANSAS CITY, MO 64108-2834
(402) 957-7891
(402) 939-0704
Mailing address
2321 TROOST AVE, KANSAS CITY, MO 64108-2834
(402) 957-7891
(402) 939-0704
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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