Individual
PHILLIP B LEEDS
Active
Individual
PHILLIP B LEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01043831A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000343450
BC
IN
05
—
200086630
—
IN
01
—
P00160377
RAILROAD MEDICARE
IN
Enumeration date
10/11/2005
Last updated
08/01/2012
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