Individual
JACQUES YVES LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
729 E RAILROAD AVE, FORT MORGAN, CO 80701-3340
(970) 867-0300
(970) 867-4662
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(970) 867-0300
(970) 867-2145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.39569
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35658878
—
CO
Enumeration date
09/28/2006
Last updated
11/07/2013
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