Provider Demographics
NPI:1659246544
Name:LEITNER, PAUL ALEXANDER
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ALEXANDER
Last Name:LEITNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 CHERRYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80121-1221
Mailing Address - Country:US
Mailing Address - Phone:720-201-3380
Mailing Address - Fax:
Practice Address - Street 1:750 W HAMPDEN AVE STE 375
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2221
Practice Address - Country:US
Practice Address - Phone:303-578-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program