Organization
SOUTH LOGAN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNTAE TALA MURPHY (PA)
(303) 733-3764
Entity
Organization
Contact information
Practice address
895 S LOGAN ST, DENVER, CO 80209-4127
(303) 733-3764
Mailing address
895 S LOGAN ST, DENVER, CO 80209-4127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2334
CO
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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