Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 32197 | CO |
NPI | 1013902790 |
---|---|
Provider Name | Dr. George A. Leimbach |
First Address | Westminster, CO 80031-2129 |
Second Address | Thornton, CO 80229-4378 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F43218 | (02) | CO |