Organization
NORTHLAND CHEST CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B LOGGAN M.D. (PRESIDENT)
(816) 781-8445
Entity
Organization
Contact information
Practice address
2521 GLENN HENDREN DR, SUITE 402, LIBERTY, MO 64068
(816) 781-8445
(816) 781-8413
Mailing address
2521 GLENN HENDREN DR, SUITE 402, LIBERTY, MO 64068-3388
(816) 781-8445
(816) 781-8413
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MDR7E84
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11804014
BCBS
MO
05
—
50328103
—
MO
Enumeration date
06/17/2006
Last updated
08/21/2018
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