Logan Debord is a student in an organized health care education training program in Denver, CO. The provider is 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. Logan Debord NPI is 1104387794. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1719 E 19TH AVE
DENVER, CO
ZIP 80218-235
Phone: (303) 869-2278
The NPI 1104387794 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/27/2019 and was last updated on 3/27/2019.