William R Logan, MD Valid NPI

Individual provider · Neurology Physician · St Louis, MO

NPI

1750311395

Type

Individual (Type 1)

Primary specialty

Neurology Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084N0400X

License number

R1A50 (MO)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-03

Last updated

2009-12-07