Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Logan Family Practice Center

Organization Family Medicine Physician · NPI 1053519868

South Logan Family Practice Center provides Family Medicine Physician services 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 Not confirmed with CMS for 17 years — call before visiting
Phone: (303) 733-3764
Fax: (303) 733-0868
Show map & directions

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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