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NPI Code Detail

MEDICARE: LEAH PUCKETT M.D.

MEDICARE:   LEAH  PUCKETT  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
1207R00000XInternal Medicine PhysicianMD60680947WA
2207R00000XInternal Medicine PhysicianDR.0054191CO

General Provider Information

NPI Number : 1508156969
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEAH PUCKETT M.D.
Provider Business Mailing Address
First Line : 1169 N LAFAYETTE ST
Second Line :
City : DENVER
State : CO
Zip : 80218-3114
Country : US
Telephone Number : 720-938-8744
Fax Number :
Provider Business Practice Location Address
First Line : 723 DELAWARE ST
Second Line :
City : DENVER
State : CO
Zip : 80204-4504
Country : US
Telephone Number : 303-724-6031
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2011
Last Update Date : 12/31/2024

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Directions to “ LEAH PUCKETT M.D.” Practice Location

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