Individual
DR. LESLIE A MATSUKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 494-4200
Mailing address
125 CRESTRIDGE ST, FORT COLLINS, CO 80525-3934
(970) 494-4200
(970) 377-0967
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DR.0057723
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47370505
—
CO
Enumeration date
07/10/2006
Last updated
07/21/2022
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