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1750589867
LOGAN J. BANKS
SPRINGFIELD, MO
NPI
1750589867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MO 2007018070)
Enumeration Date
2007-07-10
Last Update Date
2020-02-21
Business Address
Dr. LOGAN J. BANKS DO
1423 N. JEFFERSON #B100
SPRINGFIELD, MO 65802-1917
Phone number: 417-269-8817
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Mailing Address
Dr. LOGAN J. BANKS DO
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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