Individual
LOGAN FIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 E BROADWAY # 60, COLUMBIA, MO 65201-5844
(573) 219-6445
Mailing address
1600 E BROADWAY # 60, COLUMBIA, MO 65201-5844
(573) 219-6445
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2026021234
MO
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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