Individual
MARK R LEADBETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3233 CENTRALIA ALPHA RD, ONALASKA, WA 98570-9610
(360) 867-4188
(360) 867-0466
Mailing address
3233 CENTRALIA ALPHA RD, ONALASKA, WA 98570-9610
(360) 867-4188
(360) 867-0466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00028908
WA
Other
Enumeration date
05/06/2009
Last updated
05/06/2009
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