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Individual

DR. MARK E. LEITHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3320 WAKE FOREST RD., SUITE 200, RALEIGH, NC 27609
(919) 862-5100
(919) 862-5104
Mailing address
3320 WAKE FOREST RD., SUITE 200, RALEIGH, NC 27609
(919) 862-5100
(919) 862-5104

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
37882
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060035473
RAILROAD MEDICARE
05
7951639
NC
Enumeration date
06/21/2005
Last updated
09/24/2013
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