| Leder Internal Medicine Associates Pc | |
|
1325 S Colorado Blvd Suite B306 Denver CO 80222-3303 | |
| (303) 759-2985 | |
| Not Available |
| Full Name | Leder Internal Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1325 S Colorado Blvd, Denver, Colorado |
| Authorized Official Name and Position | Eric H Leder (PRESIDENT) |
| Authorized Official Contact | 3037592985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leder Internal Medicine Associates Pc 3464 S Willow St Suite 166 Denver CO 80231-4531 Ph: (303) 755-2900 | Leder Internal Medicine Associates Pc 1325 S Colorado Blvd Suite B306 Denver CO 80222-3303 Ph: (303) 759-2985 |
| NPI Number | 1124060637 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/31/2007 |
| Medicare PECOS PAC ID | 4688666894 |
|---|---|
| Medicare Enrollment ID | O20040330001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124060637 | NPI | - | NPPES |
| 04112041 | Medicaid | CO | |
| LE11204 | Other | CO | BLUE SHIELD |
| CS2534 | Other | CO | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric H Leder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134160898 PECOS PAC ID: 7911967948 Enrollment ID: I20041014000444 |
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