Provider Demographics
NPI:1982680393
Name:GRIFFITHS, LEONARD L III (MD)
Entity Type:Individual
Prefix:
First Name:LEONARD
Middle Name:L
Last Name:GRIFFITHS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPT 499
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80291-0499
Mailing Address - Country:US
Mailing Address - Phone:303-336-8304
Mailing Address - Fax:303-780-0787
Practice Address - Street 1:455 SHERMAN
Practice Address - Street 2:SUITE 510
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-4405
Practice Address - Country:US
Practice Address - Phone:303-336-8304
Practice Address - Fax:303-780-0787
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2008-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17393207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100425120AMedicaid
TX051271701Medicaid
NE84113438513Medicaid
AZ376452Medicaid
NML4886Medicaid
CO01173939Medicaid
WY101822100Medicaid
MT3506685Medicaid
NE84113438513Medicaid
COCV2078Medicare PIN
CO01173939Medicaid