NPI 1124020771
John Landiss Logan, MD
Practice location
- Address
- 2005 E 18th Ave, Denver, CO 80206-1109
- Phone
- (303) 321-4212
- Fax
- (303) 388-2459
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1124020771
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 12 Aug 2005
- Record last updated
- 24 Jun 2010
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.