Logan Crist PA & Company

NPI #1275202061 in Colorado Spgs, Colorado

Provider Information

NPI Number: 1275202061
Entity Type: Organization
Organization Name: Logan Crist PA & Company
Primary Specialty: Physician Assistant
Enumeration Date: Sep 7, 2021
Last Updated: Sep 7, 2021

Practice Location

Address: 1497 SOLITAIRE ST
City: Colorado Spgs
State: Colorado
ZIP Code: 80905-4255
Phone: (440) 371-3063

Authorized Official

Name: CRIST LOGAN
Title: OWNER
Phone: (440) 371-3063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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