Provider Demographics
NPI:1750343737
Name:LEONARD, STEVEN ROY (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ROY
Last Name:LEONARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:720-475-8730
Mailing Address - Fax:303-832-7297
Practice Address - Street 1:2055 N HIGH ST
Practice Address - Street 2:#260
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:720-475-8730
Practice Address - Fax:303-832-7297
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG2178208G00000X
CO48048208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025839700Medicaid
TX126182806Medicaid
CO72674865Medicaid
CO313683YLK2Medicare PIN
E77065Medicare UPIN
CO72674865Medicaid