LOGAN PRESCOTT

SPRINGFIELD, MO
NPI1073168399
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: MO  2018029949)
Enumeration Date2019-08-04
Last Update Date2019-08-04
Business Address
LOGAN PRESCOTT
3545 S NATIONAL AVE
SPRINGFIELD, MO 65807-7310
Phone number: 417-269-3282
Mailing Address
LOGAN PRESCOTT
5650 E FARM ROAD 132
SPRINGFIELD, MO 65802-9494
Phone number: 417-880-2865
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