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1316967722
MACDONALD B LOGIE
ST LOUIS, MO
NPI
1316967722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MO 32088)
Enumeration Date
2006-07-20
Last Update Date
2008-01-09
Business Address
-- MACDONALD B LOGIE MD
3635 VISTA
ST LOUIS, MO 63110
Phone number: 314-577-8815
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Mailing Address
-- MACDONALD B LOGIE MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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