Individual
LEIF A REDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 CROSSING DR, LAFAYETTE, CO 80026-2628
(303) 269-2875
(303) 269-2876
Mailing address
8097 HARBORVIEW RD, BLAINE, WA 98230-9639
(360) 371-5855
(360) 371-5857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0030471
CO
207Q00000X
Family Medicine Physician
MD00027907
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04389832
—
CO
Enumeration date
06/16/2005
Last updated
09/21/2022
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