Provider Demographics
NPI:1265536593
Name:LEFF, WILLIAM M (DC)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:LEFF
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:3130 MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79903-2503
Mailing Address - Country:US
Mailing Address - Phone:915-566-9671
Mailing Address - Fax:915-566-8838
Practice Address - Street 1:3130 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-2503
Practice Address - Country:US
Practice Address - Phone:915-566-9671
Practice Address - Fax:915-566-8838
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-08
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX4094111N00000X
CO2409111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX602076Medicare PIN