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Individual

MR. LEO D FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2025 TECHNOLOGY PKWY, STE 204, MECHANICSBURG, PA 17050
(717) 732-9000
(717) 732-9011
Mailing address
2025 TECHNOLOGY PKWY, STE 204, MECHANICSBURG, PA 17050
(717) 732-9000
(717) 732-9011

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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