Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2014018335 | MO |
N | 208600000X | Surgeon | 2014018335 | MO |
Y | 208800000X | Urologist | 31523 | NE |
NPI | 1033524582 |
---|---|
Provider Name | Logan Mcguffey |
First Address | Lincoln, NE 68516-3389 |
Second Address | Lincoln, NE 68516-3389 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2014 |
Last Update Date | 06/01/2022 |