John Landiss Logan, MD Valid NPI
Individual provider · Urology Physician · Denver, CO
- NPI
- 1124020771
- Type
- Individual (Type 1)
- Primary specialty
- Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208800000X
- License number
- 32200 (CO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-12
- Last updated
- 2010-06-24
Practice location
2005 E 18th Ave
Denver, CO 80206-1109
(303) 321-4212