Individual
MR. LOGAN DRAKE HIRSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(417) 850-1993
Mailing address
641 GLEN EYRIE CIR, COLORADO SPRINGS, CO 80904-2138
(417) 850-1993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
216892
AR
207L00000X
Anesthesiology Physician
R101414
AR
367500000X
Certified Registered Nurse Anesthetist
Primary
C-APN.0003798-C-CRNA
CO
Other
Enumeration date
08/23/2019
Last updated
06/15/2023
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