Mark Jeffrey Leistico, DC | |
1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 | |
(970) 241-1199 | |
(970) 241-2047 |
Full Name | Mark Jeffrey Leistico |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 23 Years |
Location | 1910 N 12th St, Grand Junction, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487833174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 5206 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Grand Junction Chiropractic Center, P.c. | 5991773095 | 2 |
Provider Name | Grand Junction Chiropractic Center, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396840716 PECOS PAC ID: 5991773095 Enrollment ID: O20040916001269 |
Mailing Address | Practice Location Address |
---|---|
Mark Jeffrey Leistico, DC 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 Ph: (970) 241-1199 | Mark Jeffrey Leistico, DC 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 Ph: (970) 241-1199 |
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