Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Logan Family Practice Center

Organization Family Medicine Physician · NPI 1053519868

South Logan Family Practice Center is a Family Medicine Physician in Denver, Colorado. Licensed in Colorado. Registered with an NPI since 2007.

Licensed in
CO
In the registry since
2007

Practice location Address checks out

895 S Logan St
Denver, CO 80209-4197
Phone: (303) 733-3764
Fax: (303) 733-0868
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 26202 (CO)

Record details

NPI number1053519868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vicki Laws — Office Manager · (303) 733-3764
NPI enumeratedJuly 3, 2007
Last updated in NPPESMay 6, 2009
Mailing address895 S Logan St, Denver, CO 80209-4197

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