Individual
LEIGH ANN O'BANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1247 E ALLUVIAL AVE STE 101, FRESNO, CA 93720-2686
(559) 431-6226
Mailing address
2625 E DIVISADERO STREET, FRESNO, CA 93721-1431
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A118964
CA
2086S0129X
Vascular Surgery Physician
Primary
A118964
CA
Other
Enumeration date
03/14/2011
Last updated
11/06/2019
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