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Organization
INDEPENDENT ANESTHESIOLOGISTS OF KITSAP CO
Active
Organization
INDEPENDENT ANESTHESIOLOGISTS OF KITSAP CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY PARK LEAKE MD (PRESIDENT)
(360) 479-0809
Entity
Organization
Contact information
Practice address
2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
(360) 479-0809
(360) 377-3577
Mailing address
2025 WHEATON WAY, SUITE 102, BREMERTON, WA 98310-4300
(360) 479-0809
(360) 377-3577
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
601433588
WA
Other
Enumeration date
12/13/2006
Last updated
05/23/2008
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