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Individual

ANDREW JOHN LEISHMAN GEAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3601 SW 160TH AVE, SUITE #250, MIRAMAR, FL 33027-6308
(305) 866-9951
(877) 284-8933
Mailing address
2529 E PROVIDENCE DR, CHARLOTTE, NC 28270-0254
(704) 443-7696
(877) 284-8933

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008 01744
NC
2086S0122X
Plastic and Reconstructive Surgery Physician
2008-01744
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876402600
MN
Enumeration date
10/18/2006
Last updated
03/02/2011
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