Individual
MELANIE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5600 S QUEBEC ST STE 312A, GREENWOOD VILLAGE, CO 80111-2208
(303) 436-2727
Mailing address
8130 E 29TH AVE, DENVER, CO 80238-2506
(614) 448-6817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006840
CO
Other
Enumeration date
04/15/2021
Last updated
11/19/2021
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