Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LOGAN DEBORD, MD
Active Sole ProprietorLOGAN DEBORD, MD is a Dermatology healthcare provider located in FRISCO, Colorado. NPI 1104387794 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FRISCO, CO
Registration Details
- NPI Number
- 1104387794
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2019 (7.41590641076 yrs)
- Last Updated
- Feb 24, 2023
- License
-
DR.0069923 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
984 N 10 MILE DR#103FRISCO, CO, 804435719Browse CO providers · Browse ZIP 80443
- Phone
- 9706680998
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.