Individual
LEONARD ANATOLY KAZANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5930 FREDERICK CROSSING LN, FREDERICK, MD 21704-5137
(240) 379-7776
(240) 379-7787
Mailing address
5930 FREDERICK CROSSING LN, FREDERICK, MD 21704-5137
(240) 379-7776
(240) 379-7787
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
D0053809
MD
Other
Enumeration date
07/12/2005
Last updated
12/02/2010
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