Individual
DANIEL ALLAN LEEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD17211
OR
207Y00000X
Otolaryngology Physician
Primary
MD17211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084509
—
OR
05
—
2038807
—
WA
Enumeration date
11/15/2006
Last updated
11/07/2024
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