PHILIP LOGAN

AURORA, CO
NPI1790146066
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CO  PA.0006907)
Enumeration Date2016-03-15
Last Update Date2021-08-05
Business Address
PHILIP LOGAN PA
12605 E 16TH AVE
AURORA, CO 80045-2545
Phone number: 720-848-0000
Mailing Address
PHILIP LOGAN PA
PO BOX 110429
AURORA, CO 80042-0429
Phone number:
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