Individual
MRS. EMILY BARTZEN LEIBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4380 ZIEGLER RD, FORT COLLINS, CO 80525-9631
(970) 237-7550
(970) 237-7551
Mailing address
4380 ZIEGLER RD, FORT COLLINS, CO 80525-9631
(970) 237-7550
(970) 237-7551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003084
CO
363AM0700X
Medical Physician Assistant
3084
CO
363AM0700X
Medical Physician Assistant
PA14567
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57537771
—
CO
01
—
P01084730
RAILROAD MEDICARE
CO
Enumeration date
02/02/2006
Last updated
10/23/2024
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