| David C Leech Do Inc Pc | |
|
101 Hospital Loop Ne Suite 114 Albuquerque NM 87109-2129 | |
| (505) 888-7770 | |
| (505) 830-0846 |
| Full Name | David C Leech Do Inc Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Hospital Loop Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | David Charles Leech (OWNER) |
| Authorized Official Contact | 5058887770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David C Leech Do Inc Pc 101 Hospital Loop Ne Suite 114 Albuquerque NM 87109-2129 Ph: (505) 888-7770 | David C Leech Do Inc Pc 101 Hospital Loop Ne Suite 114 Albuquerque NM 87109-2129 Ph: (505) 888-7770 |
| NPI Number | 1770724916 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 11/13/2014 |
| Medicare PECOS PAC ID | 2860543618 |
|---|---|
| Medicare Enrollment ID | O20090708000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770724916 | NPI | - | NPPES |
| 00040915 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | A 830 86 (New Mexico) | Primary |
| Provider Name | David C Leech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831167410 PECOS PAC ID: 2961553714 Enrollment ID: I20090708000099 |
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