Individual
DR. TIMOTHY W LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3655 LUTHERAN PARKWAY, SUITE # 201, WHEAT RIDGE, CO 80033-6010
(303) 603-9800
Mailing address
2420 W 26TH AVE STE 400D, DENVER, CO 80211-5357
(303) 467-4162
(303) 318-3885
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
21396
CO
207RI0011X
Interventional Cardiology Physician
Primary
21396
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01213966
—
CO
Enumeration date
04/28/2006
Last updated
07/21/2011
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