Healthcare Provider Details

I. General information

NPI: 1811699093
Provider Name (Legal Business Name): TREVOR ROBERT THOMAS LEONARDO MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 JACKSON ST # K624
DENVER CO
80206-2762
US

IV. Provider business mailing address

1400 JACKSON ST # K624
DENVER CO
80206-2762
US

V. Phone/Fax

Practice location:
  • Phone: 303-270-2913
  • Fax: 303-398-1806
Mailing address:
  • Phone: 303-270-2913
  • Fax: 303-398-1806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberIN-TRAINING
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: