Provider Demographics
NPI:1982864005
Name:LEO MILNER
Entity Type:Organization
Organization Name:LEO MILNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIORPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:MILNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-264-7770
Mailing Address - Street 1:1701 CATCHPOLE DR
Mailing Address - Street 2:
Mailing Address - City:PAGOSA SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81147-9783
Mailing Address - Country:US
Mailing Address - Phone:970-264-7770
Mailing Address - Fax:970-264-4707
Practice Address - Street 1:155 HOT SPRINGS BLVD
Practice Address - Street 2:
Practice Address - City:PAGOSA SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81147
Practice Address - Country:US
Practice Address - Phone:970-264-7770
Practice Address - Fax:970-264-4707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5321111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty