Healthcare Provider Details

I. General information

NPI: 1679968127
Provider Name (Legal Business Name): REBECCA LEIGH HARLOW M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA LEIGH PARRISH MD

II. Dates (important events)

Enumeration Date: 04/01/2015
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 RESEARCH PKWY
COLORADO SPRINGS CO
80920-1044
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 719-574-9191
  • Fax:
Mailing address:
  • Phone: 719-463-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0069066
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: