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Individual

DR. ROSS ALBERT LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
2300 CLAIRMONT DR STE A, KLAMATH FALLS, OR 97601-1136
(541) 850-6463
(541) 850-5990
Mailing address
2300 CLAIRMONT DR STE A, KLAMATH FALLS, OR 97601-1136
(541) 850-6463
(541) 850-5990

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00138
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
008599000
BLUE CROSS ID
OR
01
0902467
WPS TRICARE ID
OR
01
14538XX
PREFERRED CARE ID
OR
05
229716
OR
01
H252901
PACIFIC SOURCE ID
OR
Enumeration date
05/11/2006
Last updated
10/02/2012
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