Individual
DR. MARVIN E LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
31 CONSERVATORY DR, BARBERTON, OH 44203-4281
(330) 753-7523
(330) 753-9162
Mailing address
31 CONSERVATORY DR, BARBERTON, OH 44203-4281
(330) 753-7523
(330) 753-9162
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35032575L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131917
ANTHEM
OH
05
—
0455010
—
OH
01
—
0800638
UNITED HEALTHCARE
OH
01
—
0800639
CIGNA
OH
01
—
0800722
UNITED FOOD COMMERCIAL
OH
01
—
0800723
AETNA
OH
01
—
1058
HOMETOWN
OH
Enumeration date
12/29/2005
Last updated
06/13/2011
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