Individual
LESLIE C TREGILLUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
(855) 204-8902
Mailing address
1003 KOALA DR, OMAK, WA 98841-9247
(509) 422-5700
(855) 204-8902
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00023288
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1030857
—
WA
Enumeration date
10/26/2006
Last updated
05/23/2022
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