Healthcare Provider Details

I. General information

NPI: 1881460186
Provider Name (Legal Business Name): LEIGH BELCHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9191 GRANT ST
THORNTON CO
80229-4361
US

IV. Provider business mailing address

9191 GRANT ST
THORNTON CO
80229-4361
US

V. Phone/Fax

Practice location:
  • Phone: 303-451-7800
  • Fax:
Mailing address:
  • Phone: 303-451-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.0998642-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: