MEDICARE: LESLIE ANN AHLMEYER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	34658	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194816470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE ANN AHLMEYER MD

Provider Business Mailing Address
First Line	:	1135 E HIGHWAY 40
Second Line	:
City	:	CRAIG
State	:	CO
Zip	:	81625-1208
Country	:	US
Telephone Number	:	970-824-1088
Fax Number	:	970-824-2700

Provider Business Practice Location Address
First Line	:	1600 PINE GROVE RD
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80487-2118
Country	:	US
Telephone Number	:	970-879-8533
Fax Number	:	970-879-8532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	11/07/2011

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