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1124020771
JOHN LANDISS LOGAN
DENVER, CO
NPI
1124020771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: CO 32200)
Enumeration Date
2005-08-12
Last Update Date
2010-06-24
Business Address
Dr. JOHN LANDISS LOGAN MD
2005 E 18TH AVE
DENVER, CO 80206-1109
Phone number: 303-321-4212
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Mailing Address
Dr. JOHN LANDISS LOGAN MD
2005 E 18TH AVE
DENVER, CO 80206-1109
Phone number: 303-321-4212
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