William Leach, | |
5420 S Quebec St Ste 205, Greenwood Village, CO 80111-1902 | |
(720) 242-8819 | |
Not Available |
Full Name | William Leach |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 5420 S Quebec St Ste 205, Greenwood Village, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912498684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CHR.0007801 (Colorado) | Primary |
Provider Name | Greenwood Village Spine Injury And Chriopractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508335928 PECOS PAC ID: 3779964390 Enrollment ID: O20220713003970 |
Mailing Address | Practice Location Address |
---|---|
William Leach, 5420 S Quebec St Ste 205, Greenwood Village, CO 80111-1902 Ph: (720) 242-8819 | William Leach, 5420 S Quebec St Ste 205, Greenwood Village, CO 80111-1902 Ph: (720) 242-8819 |
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