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Individual
LEONARD F MCGOVERN
Active
Individual
LEONARD F MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO46
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010344
MISSISSIPPI MEDICAID
MS
01
—
010033CD32787
SECTION 1011
AL
01
—
3462
HEALTHSPRING OF ALABAMA
AL
01
—
D32787
VIVA
AL
Enumeration date
07/03/2006
Last updated
07/08/2007
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