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Individual

ALEXANDER LEIGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
555 5TH STREET, SUITE 2, BROOKINGS, OR 97415
(541) 469-9205
(541) 469-9204
Mailing address
555 5TH STREET, SUITE 2, BROOKINGS, OR 97415
(541) 469-9205
(541) 469-9204

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A85511
CA
207R00000X
Internal Medicine Physician
Primary
MD23295
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262304
OR
01
P00224664
RAILROAD
Enumeration date
08/08/2006
Last updated
07/08/2007
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