Mr Todd Anthony Leach Jr, DC | |
838 W Drake Rd Ste 105, Fort Collins, CO 80526-5539 | |
(602) 518-4851 | |
Not Available |
Full Name | Mr Todd Anthony Leach Jr |
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Gender | Male |
Speciality | Chiropractor |
Location | 838 W Drake Rd Ste 105, Fort Collins, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548913635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0008470 (Colorado) | Primary |
Provider Name | Leach Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063120178 PECOS PAC ID: 6204203839 Enrollment ID: O20221110001130 |
Mailing Address | Practice Location Address |
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Mr Todd Anthony Leach Jr, DC 775 W Lake St Unit 2528, Fort Collins, CO 80521-4749 Ph: (602) 518-4851 | Mr Todd Anthony Leach Jr, DC 838 W Drake Rd Ste 105, Fort Collins, CO 80526-5539 Ph: (602) 518-4851 |
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