Individual
BENJAMIN LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4674 SNOW MESA DR STE 100, FORT COLLINS, CO 80528-8614
(970) 482-3712
(970) 266-4190
Mailing address
4674 SNOW MESA DR STE 100, FORT COLLINS, CO 80528-8614
(970) 482-3712
(970) 266-4190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0063944
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000158872
—
CO
Enumeration date
04/19/2017
Last updated
08/26/2020
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