Individual
REBECCA LORRAINE LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4323 INTEGRITY CENTER PT, COLORADO SPRINGS, CO 80917-1683
(719) 591-2558
(719) 365-7680
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4123
(970) 624-2416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1150
NE
207Q00000X
Family Medicine Physician
Primary
CDR.0001348
CO
Other
Enumeration date
06/27/2012
Last updated
10/24/2023
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