Provider Demographics
NPI:1295940211
Name:NELIGH, GORDON LEIGH III (MD)
Entity type:Individual
Prefix:
First Name:GORDON
Middle Name:LEIGH
Last Name:NELIGH
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 1:1017 S GAYLORD ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4683
Mailing Address - Country:US
Mailing Address - Phone:303-744-3377
Mailing Address - Fax:
Practice Address - Street 1:1017 S GAYLORD ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4683
Practice Address - Country:US
Practice Address - Phone:303-744-3377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO280422084F0202X, 2084P0015X, 2084P0800X, 208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology