Individual
DR. WAYNE BRUCE LEADBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 WESTERN MARYLAND PARKWAY, SUITE 104, HAGERSTOWN, MD 21740-5146
(301) 665-4575
(301) 665-4576
Mailing address
13 WESTERN MARYLAND PKWY, SUITE 104, HAGERSTOWN, MD 21740-6474
(301) 665-4575
(301) 665-4576
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0012569
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372181700
—
MD
01
—
P00900627
RR MEDICARE
—
Enumeration date
06/13/2006
Last updated
01/06/2015
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