Individual
JOHN TERRY LEEVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 256-6440
Mailing address
PO BOX 2131, GRAND JUNCTION, CO 81502-2131
(970) 256-6440
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01232677
—
CO
Enumeration date
01/18/2006
Last updated
07/08/2007
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