| Leslie A Matsukawa Md Llc | |
|
1136 E Stuart St Ste 4101 Fort Collins CO 80525-1173 | |
| (808) 291-8141 | |
| (970) 232-9339 |
| Full Name | Leslie A Matsukawa Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1136 E Stuart St Ste 4101, Fort Collins, Colorado |
| Authorized Official Name and Position | Leslie A Matsukawa (DR.) |
| Authorized Official Contact | 8082918141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie A Matsukawa Md Llc 2848 Dunbar Ave Fort Collins CO 80526-2266 Ph: (808) 291-8141 | Leslie A Matsukawa Md Llc 1136 E Stuart St Ste 4101 Fort Collins CO 80525-1173 Ph: (808) 291-8141 |
| NPI Number | 1326535170 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 04/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326535170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | DR.0057723 (Colorado) | Primary |
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