Logan Gibson, MD Valid NPI

Individual provider · Pediatric Gastroenterology Physician · Lone Tree, CO

NPI

1083009468

Type

Individual (Type 1)

Primary specialty

Pediatric Gastroenterology Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2080P0206X

License number

DR.0066040 (CO)

Sex

Male

Sole proprietor

No

Enumerated

2015-04-01

Last updated

2021-06-30