Individual
DR. MARK H LEQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Mailing address
2055 NORMANDIE DR, SUITE 108, MONTGOMERY, AL 36111-2732
(334) 288-4624
(334) 280-3628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0000-39011
NC
2085R0202X
Diagnostic Radiology Physician
Primary
00013481
AL
2085R0202X
Diagnostic Radiology Physician
20761
SC
2085R0202X
Diagnostic Radiology Physician
34736
TN
2085R0202X
Diagnostic Radiology Physician
35-07-9272-L
OH
2085R0202X
Diagnostic Radiology Physician
H3097
TX
2085R0202X
Diagnostic Radiology Physician
ME89827
FL
2085R0204X
Vascular & Interventional Radiology Physician
0000-39011
NC
2085R0204X
Vascular & Interventional Radiology Physician
00013481
AL
2085R0204X
Vascular & Interventional Radiology Physician
20761
SC
2085R0204X
Vascular & Interventional Radiology Physician
34736
TN
2085R0204X
Vascular & Interventional Radiology Physician
35-07-9272-L
OH
2085R0204X
Vascular & Interventional Radiology Physician
H3097
TX
2085R0204X
Vascular & Interventional Radiology Physician
ME89827
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000058866
IDTF
AL
01
—
000058867
IDTF
AL
05
—
009922335
—
AL
05
—
009928435
—
AL
05
—
009930805
—
AL
05
—
009951085
—
AL
05
—
009971800
—
AL
05
—
009971820
—
AL
05
—
009971830
—
AL
05
—
009972715
—
AL
05
—
009973725
—
AL
01
—
051504364
IDTF
AL
05
—
051551047
—
AL
05
—
107037
—
AL
05
—
107038
—
AL
05
—
108071
—
AL
05
—
108246
—
AL
05
—
270021200
—
FL
Enumeration date
08/31/2005
Last updated
11/02/2011
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