Provider Demographics
NPI:1780728030
Name:LEONARDI, DAVID P (MD, CNS, FA4M)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:P
Last Name:LEONARDI
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Gender:M
Credentials:MD, CNS, FA4M
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Mailing Address - Street 1:8400 E PRENTICE AVE
Mailing Address - Street 2:SUITE 700
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2912
Mailing Address - Country:US
Mailing Address - Phone:303-462-5344
Mailing Address - Fax:303-462-5345
Practice Address - Street 1:8400 E PRENTICE AVE
Practice Address - Street 2:SUITE 700
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2912
Practice Address - Country:US
Practice Address - Phone:303-462-5344
Practice Address - Fax:303-462-5345
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO413292083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A46099Medicare UPIN