Individual
MR. LEANDRO TUAZON CABANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3730 PLAZA WAY, KENNEWICK, WA 99338-2718
(509) 221-6550
(509) 221-6230
Mailing address
3730 PLAZA WAY, KENNEWICK, WA 99338-2718
(509) 221-6550
(509) 586-5722
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00032181
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122266
—
WA
01
—
203198509
BLUE CROSS SHIELD
—
Enumeration date
08/30/2006
Last updated
02/28/2020
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