Individual
GEORGIA MARIE LEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98221
(360) 299-1300
Mailing address
571 ROSE LN, BURLINGTON, WA 98233-2811
(316) 207-1110
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13262810-1204
UT
207R00000X
Internal Medicine Physician
OP60903926
WA
Other
Enumeration date
05/11/2015
Last updated
03/22/2023
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