Provider Demographics
NPI:1881619443
Name:CAPIN, LESLIE R (MD)
Entity type:Individual
Prefix:MS
First Name:LESLIE
Middle Name:R
Last Name:CAPIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9570 S KINGSTON CT
Mailing Address - Street 2:STE 100
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-350-4500
Mailing Address - Fax:303-350-4501
Practice Address - Street 1:9570 S KINGSTON CT
Practice Address - Street 2:STE 100
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-350-4500
Practice Address - Fax:303-350-4501
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO25360207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01253608Medicaid
D24620Medicare UPIN
CO01253608Medicaid