Individual
BERNARD THOMAS LEONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
490 W COLFAX AVE, DENVER, CO 80204-2607
(720) 337-0200
Mailing address
3200 W COLFAX AVE APT 427, DENVER, CO 80204-2322
(219) 671-1699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0007201
CO
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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