NPI 1083009468

Logan Gibson, MD

Practitioner Pediatric Gastroenterology Physician Lone Tree, CO

Practice location

Address: 10465 Park Meadows Dr, Lone Tree, CO 80124-5319
Phone: (303) 790-1515
Mailing address: 6427 Oakbrook Dr, Ypsilanti, MI 48197-9494

Registered specialties

Pediatric Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0206X Licence DR.0066040 (CO)

Other Pediatrics providers in Colorado →

Registry record

NPI: 1083009468
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2015
Record last updated: 30 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.