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Individual
DR. MARVIN E LEEDY
Active
Individual
DR. MARVIN E LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35032575L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131917
ANTHEM
OH
05
—
0455010
—
OH
01
—
0800638
UNITED HEALTHCARE
OH
01
—
0800639
CIGNA
OH
01
—
0800722
UNITED FOOD COMMERCIAL
OH
01
—
0800723
AETNA
OH
01
—
1058
HOMETOWN
OH
Enumeration date
12/29/2005
Last updated
06/13/2011
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