Provider Demographics
NPI:1548273329
Name:MURRAY, LESLIE (PA-C)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8758 WOLFF CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-6903
Mailing Address - Country:US
Mailing Address - Phone:303-427-7767
Mailing Address - Fax:303-427-3214
Practice Address - Street 1:8758 WOLFF CT
Practice Address - Street 2:SUITE 200
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6903
Practice Address - Country:US
Practice Address - Phone:303-427-7767
Practice Address - Fax:303-427-3214
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO291363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant