# DR. LEO MARTIN HATTRUP

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487981908
- **Gender:** Man
- **Credential:** MD, MPH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 41947 | CO | — |
| 2083A0100X | Aerospace Medicine Physician | 41947 | CO | Yes |
| 2083X0100X | Occupational Medicine Physician | 41947 | CO | — |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 11/04/2009