STEPHEN DALE LEATHERS

AURORA, CO
NPI1497774046
Professional NameSTEPHEN D. LEATHERS
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CO  DR0050115)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: NC  2003-01485)
207P00000X Emergency Medicine
(Licence: SC  29303)
Enumeration Date2006-07-18
Last Update Date2015-05-11
Business Address
-- STEPHEN DALE LEATHERS
1501 S POTOMAC ST
AURORA, CO 80012-5411
Phone number: 303-695-2628
Mailing Address
-- STEPHEN DALE LEATHERS
PO BOX 173862
DENVER, CO 80217-3862
Phone number: 303-306-7783