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

Samuel Logan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417586173

Samuel Logan, MD is a Student in an Organized Health Care Education/Training Program in Aurora, Colorado. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

12801 E 17th Ave Ste 4120
Aurora, CO 80045-2530
Phone: (720) 848-0597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417586173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2020
Last updated in NPPESApril 20, 2022
Certification dateApril 20, 2022

Other providers in Aurora