Individual
DR. DELMAR LEWIS GREENLEAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
804 NE THIRD ST, BEND, OR 97701
(541) 317-5533
(541) 617-2919
Mailing address
804 NE THIRD ST, BEND, OR 97701
(541) 317-5533
(541) 617-2919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD17098
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061705
—
OR
Enumeration date
10/03/2006
Last updated
10/29/2007
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