Individual
DR. W RAFER LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROADWAY, BLDG A, SUITE 100, DENVER, CO 80203-3959
(303) 455-6345
(303) 455-6343
Mailing address
1 BROADWAY, BLDG A, SUITE 100, DENVER, CO 80203-3959
(303) 455-6345
(303) 455-6343
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
38790
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96833033
—
CO
Enumeration date
06/26/2006
Last updated
07/08/2007
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