Individual provider · Type 1 NPI

Samuel Logan, MD

Student in an Organized Health Care Education/Training Program · Aurora, CO

NPI number 1417586173 Active

Practice location

12801 E 17th Ave Ste 4120
Aurora, CO 80045-2530

Mailing address

101 W 8th Ave
Spokane, WA 99204-2307

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417586173

Samuel Logan, MD's National Provider Identifier is 1417586173, issued on Apr 5, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Aurora, CO. The record was last updated on Apr 20, 2022.