Individual
DR. PETER VINCENT LEONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1116 B ST, PETALUMA, CA 94952-4054
(707) 781-6926
(707) 762-2145
Mailing address
PO BOX 590, PETALUMA, CA 94953-0590
(707) 781-6926
(707) 762-2145
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G64218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G642180
—
CA
05
—
0699619
—
CA
Enumeration date
03/25/2006
Last updated
01/08/2013
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