Individual
MR. LEO D FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD032080E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01065901
CAP BLUE CROSS
PA
01
—
91162
HEALTH AMERICA
—
Enumeration date
10/23/2006
Last updated
07/08/2007
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