Provider Demographics
NPI:1205824380
Name:GUY, LEAH D (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LEAH
Middle Name:D
Last Name:GUY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:NANETTE
Other - Last Name:DONOVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:8101 EAST LOWRY BOULEVARD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7197
Mailing Address - Country:US
Mailing Address - Phone:303-214-4500
Mailing Address - Fax:303-214-4571
Practice Address - Street 1:8101 EAST LOWRY BOULEVARD
Practice Address - Street 2:SUITE 260
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230-7197
Practice Address - Country:US
Practice Address - Phone:303-214-4500
Practice Address - Fax:303-214-4571
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA-2041363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q42306Medicare UPIN
ND801735Medicare ID - Type Unspecified