Individual
MR. JEFFREY S LOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-8710
(303) 602-8754
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 602-8710
(303) 602-8754
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
777
CO
Other
Enumeration date
07/28/2006
Last updated
05/09/2024
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