Individual
LOGAN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12631 E 17TH AVE STE 2001, AURORA, CO 80045-2527
(303) 724-1758
Mailing address
12631 E 17TH AVE STE 2001, AURORA, CO 80045-2527
(303) 724-1758
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301514394
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4301514394
MI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009399
CO
Other
Enumeration date
05/25/2021
Last updated
04/20/2026
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