Healthcare Provider Details

I. General information

NPI: 1457336976
Provider Name (Legal Business Name): MATTHEW S LOGSDON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6031 E WOODMEN RD STE 200
COLORADO SPRINGS CO
80923-2625
US

IV. Provider business mailing address

7951 E MAPLEWOOD AVE STE 300
GREENWOOD VILLAGE CO
80111-4726
US

V. Phone/Fax

Practice location:
  • Phone: 719-577-2555
  • Fax: 719-793-7053
Mailing address:
  • Phone: 303-930-7803
  • Fax: 303-930-5503

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number42233
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: