MEDICARE: LEON P CAMPOS 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	207Q00000X	Family Medicine Physician	036-090644	IL
2	207Q00000X	Family Medicine Physician	ME105086	FL
3	207Q00000X	Family Medicine Physician	DR.0071260	CO

General Provider Information

NPI Number	:	1528094075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEON P CAMPOS MD

Provider Business Mailing Address
First Line	:	2695 ROCKY MOUNTAIN AVE STE 150
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-9071
Country	:	US
Telephone Number	:	970-624-2417
Fax Number	:

Provider Business Practice Location Address
First Line	:	8890 N UNION BLVD STE 170
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-2701
Country	:	US
Telephone Number	:	719-364-5005
Fax Number	:	719-365-9911

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

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	12/30/2025

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