Individual
LEO L MEDUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1760 COUNTY ROAD J, SAUNDERS MEDICAL CENTER, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1440
Mailing address
1760 COUNTY ROAD J, SAUNDERS MEDICAL CENTER, WAHOO, NE 68066-4152
(402) 443-4191
(402) 443-1440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18618
NE
207Q00000X
Family Medicine Physician
Primary
NE18618
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080188771
RAILROAD MEDICARE
—
01
—
099262
MEDICARE GROUP
—
05
—
76070872013
—
NE
Enumeration date
04/14/2006
Last updated
01/27/2011
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