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Individual
DR. LEONID BASOVICH
Active
Individual
DR. LEONID BASOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, DAOBFP
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
A13731
CA
207Q00000X
Family Medicine Physician
Primary
A13731
CA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A13731
CA
Other
Enumeration date
08/23/2005
Last updated
06/13/2020
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