Mark Jeffrey Leistico (NPI# 1487833174, PAC ID# 0143412361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1487833174 |
| PAC ID by PECOS | 0143412361 |
| Professional Enrollment ID | I20101006001021 |
| Full Name | Mark Jeffrey Leistico |
| Organization Legal Name | GRAND JUNCTION CHIROPRACTIC CENTER, P.C. |
| Address |
1910 N 12th St Suite F Grand Junction CO 81501-2912 |
| Phone Number | 9702411199 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
| Graduation Year | 2001 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 5991773095 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 | 9702411199 | GRAND JUNCTION CHIROPRACTIC CENTER, P.C. |
| Organization Legal Name | GRAND JUNCTION CHIROPRACTIC CENTER, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Sweet | Chiropractic | Grand Junction Chiropractic Center, P.C. | 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 |
| Dustin Martin | Chiropractic | Grand Junction Chiropractic Center, P.C. | 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 |
| Street Address |
1910 N 12TH ST SUITE F |
| City | GRAND JUNCTION |
| State | CO |
| Zip | 81501-2912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry L Sweet | Chiropractic | Grand Junction Chiropractic Center, P.C. | 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 |
| Dustin Martin | Chiropractic | Grand Junction Chiropractic Center, P.C. | 1910 N 12th St, Suite F, Grand Junction, CO 81501-2912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikos P Hollis | Nurse Practitioner | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Leah N Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Rosa Louise Brey Gardner | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Erica D Lovett Fournier | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jared Barjenbruch | Physician Assistant | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Jeanne M Haberer | Family Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Crystal Dawn Owens | Hospice/palliative Care | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephanie Sayers | Osteopathic Manipulative Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Stephen R Pyland | Clinical Social Worker | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Andrea L Nederveld | Pediatric Medicine | Marillac Clinic, Inc. | 2333 N 6th St, Grand Junction, CO 81501-2001 |
| Find all physicians in zip 81501 | |||
| City | GRAND JUNCTION |
| Zip Code | 81501 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GRAND JUNCTION + CHIROPRACTIC |
Please comment or provide details below to improve the information on Mark Jeffrey Leistico.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.