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Individual
LEONIE CAMPBELL
Active
Individual
LEONIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
M-16050
ID
208D00000X
General Practice Physician
Primary
M-16050
ID
390200000X
Student in an Organized Health Care Education/Training Program
M-16050
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M-16050
IDAHO MEDICAL LICENSE
ID
Enumeration date
03/11/2020
Last updated
08/11/2025
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