Individual
DR. LESLIE ANN DERVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, MB.10.620, SEATTLE, WA 98105-3901
(206) 987-0293
Mailing address
4800 SAND POINT WAY NE, MB.10.620, SEATTLE, WA 98105-3901
(206) 987-0293
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
60205855
WA
Other
Enumeration date
06/23/2008
Last updated
07/24/2013
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