Individual
DR. LESLIE E FISHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 BUCK CREEK ROAD, SUITE 200, AVON, CO 81620
(970) 926-6340
(970) 926-6348
Mailing address
PO BOX 4330, AVON, CO 81620-4330
(970) 926-6340
(970) 926-6355
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25850
MN
208000000X
Pediatrics Physician
Primary
45386
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902886997
—
CO
05
—
26501511
—
CO
05
—
612272800
—
MN
Enumeration date
01/18/2006
Last updated
02/20/2017
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