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Individual
MARK F LEONARD
Active
Individual
MARK F LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00027106
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220755
LIWA
WA
05
—
1056779
—
WA
01
—
3069LE
BSWA
WA
Enumeration date
06/17/2006
Last updated
04/11/2008
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