Organization
JENNIFER LOGAN, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER P. LOGAN M.D. (OWNER)
(970) 372-0696
Entity
Organization
Contact information
Practice address
6715 ANTIGUA DR, FORT COLLINS, CO 80525-9433
(970) 372-0696
(970) 372-0696
Mailing address
6715 ANTIGUA DR, FORT COLLINS, CO 80525-9433
(970) 372-0696
(970) 372-0696
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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