Individual
DR. DEREK G LEOPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DR.0055469
CO
208600000X
Surgery Physician
TL.0003704
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-3704
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16323017
—
CO
Enumeration date
08/02/2010
Last updated
09/04/2015
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