LOGAN FORTENBERRY

AURORA, CO
NPI1154171387
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
LOGAN FORTENBERRY MD
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: 720-777-3846
Mailing Address
LOGAN FORTENBERRY MD
13123 E 16TH AVE
AURORA, CO 80045-7106
Phone number: