Individual
MR. SAMUEL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 413-4487
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 413-4487
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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