Individual
W HUGH LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1327 SUPERIOR ST, SANDPOINT, ID 83864-1735
(208) 263-1718
(208) 263-7198
Mailing address
6635 COMANCHE ST, PO BOX Q, BONNERS FERRY, ID 83805-7523
(208) 267-1718
(208) 267-7739
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M3333
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002792400
—
ID
05
—
806590100
—
ID
Enumeration date
06/30/2005
Last updated
06/16/2009
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