| Dr Leah T Brown, MD | |
|
1925 Mountain View Ave, Longmont, CO 80501-3128 | |
| (720) 494-3133 | |
| (720) 494-3187 |
| Full Name | Dr Leah T Brown |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1925 Mountain View Ave, Longmont, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275557639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | A92685 (California) | Secondary |
| 208000000X | Pediatrics | DR.0058689 (Colorado) | Primary |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Leah T Brown, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3133 | Dr Leah T Brown, MD 1925 Mountain View Ave, Longmont, CO 80501-3128 Ph: (720) 494-3133 |
Michael R Martinez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-678-3237 Fax: 303-678-3225 | |
Dr. Katherine Dueber, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. David T Fitzgerald, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 | |
Dr. Colette Elise Fisher, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Deborah M Archer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2345 Bent Way, Longmont, CO 80503 Phone: 303-338-4545 | |
Dr. Heather N Isaacson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1925 W Mountain View Ave, Longmont, CO 80501 Phone: 303-776-1234 Fax: 720-494-3107 |