NPI 1093305146
Amanda Marie Leak
Practice location
- Address
- 1055 E Stewart Ave Bldg 2018, Peterson Afb, CO 80914-2900
- Phone
- (719) 556-1333
- Mailing address
- 5055 Sodbuster Trl, Colorado Springs, CO 80917-1715
Registered specialties
Dental Assistant
Primary
Registry record
- NPI
- 1093305146
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jan 2021
- Record last updated
- 22 Jan 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.