LOGAN TAYLOR

BELLEVILLE, IL
NPI1972962561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209009995)
Enumeration Date2016-02-11
Last Update Date2016-02-11
Business Address
-- LOGAN TAYLOR CRNA
4500 MEMORIAL DRIVE MEMORIAL HOSPITAL
BELLEVILLE, IL 62226
Phone number: 618-233-7750
Mailing Address
-- LOGAN TAYLOR CRNA
311 KEN DR
SAINT CHARLES, MO 63301-0523
Phone number:
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