# PREMISE HEALTH OF COLORADO MEDICAL, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Wellness Center operated by Premise Health Deer Creek
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770120677
- **Authorized official:** DR. JON LEIZMAN MD (PRESIDENT)
- **Authorized official phone:** (216) 479-9063

## Contact information

- **Practice address:** 12999 W DEER CREEK CANYON RD, LITTLETON, CO 80127-5146
- **Practice address phone:** (720) 842-6997
- **Practice address fax:** (720) 842-6996
- **Mailing address:** 5500 MARYLAND WAY, BRENTWOOD, TN 37027-7048
- **Mailing address phone:** (844) 407-7557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2019
- **Last updated:** 08/23/2022