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Individual

LOGAN GIBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10465 PARK MEADOWS DR, LONE TREE, CO 80124-5319
(303) 790-1515
Mailing address
6427 OAKBROOK DR, YPSILANTI, MI 48197-9494
(316) 304-2976

Taxonomy

Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
DR.0066040
CO

Other

Enumeration date
04/01/2015
Last updated
06/30/2021
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