Individual
LOGAN REIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2781
(719) 584-4000
Mailing address
605 SCRANTON AVE, PUEBLO, CO 81004-1636
(316) 734-8141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0064625
CO
207R00000X
Internal Medicine Physician
TL.0006409
CO
207RC0000X
Cardiovascular Disease Physician
DR.0064625
CO
Other
Enumeration date
04/19/2017
Last updated
05/17/2023
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