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Individual

MICHAEL LESLIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
9348 GRAND CORDERA PKWY, SUITE 160, COLORADO SPRINGS, CO 80924-7001
(719) 355-1585
(719) 623-2983
Mailing address
9348 GRAND CORDERA PKWY, SUITE 160, COLORADO SPRINGS, CO 80924-7001
(719) 355-1585
(719) 623-2983

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DR.0053411
CO
207N00000X
Dermatology Physician
P6857
TX

Other

Enumeration date
08/14/2012
Last updated
10/30/2020
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