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Individual
DR. MARK A LEIKER
Active
Individual
DR. MARK A LEIKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26415
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080183217
RAILROAD MEDICARE
KS
05
—
100314730B
—
KS
05
—
100416440A
—
KS
01
—
101600
BLUE CROSS INDIVIDUAL
KS
01
—
110718
BLUECROSS GROUP
KS
01
—
621762
FIRSTGUARD
KS
Enumeration date
06/11/2005
Last updated
10/22/2012
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