MEDICARE: DR. LEONARD DAVID BERNSTEIN M.D.

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	174400000X	Specialist	16210	CO

General Provider Information

NPI Number	:	1073845624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD DAVID BERNSTEIN M.D.

Provider Business Mailing Address
First Line	:	12371 E CEDAR CIR
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-1316
Country	:	US
Telephone Number	:	303-344-9871
Fax Number	:	303-537-8917

Provider Business Practice Location Address
First Line	:	12371 E CEDAR CIR
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-1316
Country	:	US
Telephone Number	:	303-344-9871
Fax Number	:	303-537-8917

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

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	02/08/2010

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