Individual
DR. LEON TAN QUE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3445 PENROSE PL, SUITE 130, BOULDER, CO 80301-1878
(303) 442-2288
(303) 444-5551
Mailing address
3445 PENROSE PL, SUITE 130, BOULDER, CO 80301-1878
(303) 442-2288
(303) 444-5551
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR-49828
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A83944
MEDICAL BOARD
CA
01
—
D68063
BOARD OF PHYSICIANS
MD
01
—
DR-49828
LICENSE
CO
01
—
M67254
DIVISION OF DRUG CONTROL
MD
Enumeration date
12/30/2005
Last updated
03/07/2023
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