Provider Demographics
NPI:1841419868
Name:BABER, LEON CALVIN (BCFA CST)
Entity Type:Individual
Prefix:MR
First Name:LEON
Middle Name:CALVIN
Last Name:BABER
Suffix:
Gender:M
Credentials:BCFA CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 PIONEER WAY
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80603-5724
Mailing Address - Country:US
Mailing Address - Phone:303-655-0088
Mailing Address - Fax:303-654-8580
Practice Address - Street 1:122 PIONEER WAY
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80603-5724
Practice Address - Country:US
Practice Address - Phone:303-655-0088
Practice Address - Fax:303-654-8580
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO06-103208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery