Individual
GARY LEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
72057 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4927
(760) 346-7191
(760) 346-7905
Mailing address
72057 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4927
(760) 346-7191
(760) 346-7905
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0418998
KS
208800000X
Urology Physician
Primary
G88841
CA
208800000X
Urology Physician
R3C49
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10775061
BCBS
—
01
—
340016726
RAILROAD MEDICARE
—
Enumeration date
08/29/2006
Last updated
08/19/2014
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