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Individual

MISS LOGANNE B WERTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8305
(720) 718-0955
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(720) 718-8305

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/24/2020
Last updated
07/07/2026
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