MEDICARE: DR. WILLIAM M LEFF DC

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	111N00000X	Chiropractor	4094	TX
2	111N00000X	Chiropractor	2409	CO

General Provider Information

NPI Number	:	1265536593
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM M LEFF DC

Provider Business Mailing Address
First Line	:	3130 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2503
Country	:	US
Telephone Number	:	915-566-9671
Fax Number	:	915-566-8838

Provider Business Practice Location Address
First Line	:	3130 MONTANA AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79903-2503
Country	:	US
Telephone Number	:	915-566-9671
Fax Number	:	915-566-8838

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

Provider Enumeration Date	:	09/08/2006
Last Update Date	:	08/23/2007

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