Logan Gibson, MD | |
10465 Park Meadows Dr, Lone Tree, CO 80124-5319 | |
(303) 790-1515 | |
Not Available |
Full Name | Logan Gibson |
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Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 10465 Park Meadows Dr, Lone Tree, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1083009468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | DR.0066040 (Colorado) | Primary |
Entity Name | Obstetrix Medical Group Of Colorado Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497779276 PECOS PAC ID: 6709776651 Enrollment ID: O20040316001040 |
Mailing Address | Practice Location Address |
---|---|
Logan Gibson, MD 6427 Oakbrook Dr, Ypsilanti, MI 48197-9494 Ph: (316) 304-2976 | Logan Gibson, MD 10465 Park Meadows Dr, Lone Tree, CO 80124-5319 Ph: (303) 790-1515 |
Emily Jeanne Vangeti, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Nancy Anne Taoka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Dr. Theodore Harry Stathos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Lane, Suite 200, Lone Tree, CO 80124 Phone: 303-790-1515 Fax: 303-790-1989 | |
Robert A Kilpatrick, Pediatrics Medicare: Medicare Enrolled Practice Location: 10101 Ridgegate Pkwy, Lone Tree, CO 80124 Phone: 720-225-1000 Fax: 303-306-7753 | |
Dr. Matthew J Hadeed, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10099 Ridgegate Pkwy Ste 290, Lone Tree, CO 80124 Phone: 303-803-1005 Fax: 303-798-3248 | |
Dr. Ronald Dean Holmes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9224 Teddy Ln, #200, Lone Tree, CO 80124 Phone: 303-869-2121 Fax: 303-860-1597 |