Provider Demographics
NPI:1952539413
Name:LEGGETT, DWIGHT R II (MD)
Entity Type:Individual
Prefix:
First Name:DWIGHT
Middle Name:R
Last Name:LEGGETT
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7150 CAMPUS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-3178
Mailing Address - Country:US
Mailing Address - Phone:719-636-3333
Mailing Address - Fax:719-636-0025
Practice Address - Street 1:7150 CAMPUS DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-3178
Practice Address - Country:US
Practice Address - Phone:719-636-3333
Practice Address - Fax:719-636-0025
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-23
Last Update Date:2021-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR0052823208100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation