Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | DR.0058585 | CO |
NPI | 1124286851 |
---|---|
Provider Name | Steven Michael Leoniak |
First Address | Aurora, CO 80042-0429 |
Second Address | Colorado Springs, CO 80920-7804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2008 |
Last Update Date | 07/08/2017 |