Individual
MRS. LESLIE A RENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2828 INTERNATIONAL CIR STE 140, COLORADO SPRINGS, CO 80910-3127
(719) 632-5700
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0056233
CO
208000000X
Pediatrics Physician
04-30497
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105068
BLUE CROSS BLUE SHIELD
KS
01
—
14951
PREFERRED HEALTH
KS
01
—
928167
FIRST GUARD
KS
Enumeration date
02/07/2006
Last updated
04/13/2018
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