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Individual

LOGAN JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5607 BARNES RD STE 140, COLORADO SPRINGS, CO 80917-1347
(719) 776-3850
(719) 776-3855
Mailing address
5607 BARNES RD STE 140, COLORADO SPRINGS, CO 80917-1347
(197) 763-8507

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1185084
CO
363A00000X
Physician Assistant
1185084
MA
363AM0700X
Medical Physician Assistant
1185084
CO

Other

Enumeration date
08/04/2021
Last updated
02/07/2025
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