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Organization

LOGIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JON TIEDE (DIRECTOR OF FINANCIAL SERVICES)
(720) 600-2304
Entity
Organization

Contact information

Practice address
400 INDIANA ST STE 320, GOLDEN, CO 80401-5033
(720) 606-2884
(720) 606-2884
Mailing address
PO BOX 18818, GOLDEN, CO 80402-6047
(720) 606-2884
(720) 606-2884

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20156000150
CO
335E00000X
Prosthetic/Orthotic Supplier
CO

Other

Enumeration date
01/26/2015
Last updated
02/09/2015
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