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Organization
LESLIE B. WYNNE, III, M.D., A PROFESSIONAL CORPORATION
Active
Organization
LESLIE B. WYNNE, III, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE B. WYNNE III M.D. (PRESIDENT)
(626) 281-8186
Entity
Organization
Contact information
Practice address
438 W LAS TUNAS DR, SAN GABRIEL, CA 91776-1216
(626) 289-5454
(626) 457-7172
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A46663
CA
Other
Enumeration date
01/11/2007
Last updated
06/06/2015
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