MEDICARE: MR. LEIGH C ANDERSON 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	208100000X	Physical Medicine & Rehabilitation Physician	28113	CO

General Provider Information

NPI Number	:	1245208743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LEIGH C ANDERSON MD

Provider Business Mailing Address
First Line	:	4100 E MISSISSIPPI AVE
Second Line	:	SUITE 1100
City	:	GLENDALE
State	:	CO
Zip	:	80246-3048
Country	:	US
Telephone Number	:	303-601-7337
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 E MISSISSIPPI AVE
Second Line	:	SUITE 1100
City	:	GLENDALE
State	:	CO
Zip	:	80246-3048
Country	:	US
Telephone Number	:	303-601-7337
Fax Number	:

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

Provider Enumeration Date	:	03/09/2006
Last Update Date	:	03/25/2011

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