Individual
LOGAN D JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
208 W CASABLANCA AVE BLDG 1400, CANNON AFB, NM 88103-5009
(575) 784-7801
Mailing address
611 BIGHORN CT, WINDSOR, CO 80550-3178
(801) 362-7779
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
58413
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000193604
—
CO
Enumeration date
04/14/2009
Last updated
04/25/2022
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