South Logan Family Practice Center

NPI #1053519868 in Denver, Colorado

Provider Information

NPI Number: 1053519868
Entity Type: Organization
Organization Name: South Logan Family Practice Center
Primary Specialty: Family Medicine
Enumeration Date: Jul 3, 2007
Last Updated: May 6, 2009

Practice Location

Address: 895 S LOGAN ST
City: Denver
State: Colorado
ZIP Code: 80209-4197
Phone: (303) 733-3764

Authorized Official

Name: VICKI LAWS
Title: OFFICE MANAGER
Phone: (303) 733-3764

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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