Individual
DR. BROCK LEONARD EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. M.A.
Contact information
Practice address
6701 139TH PL SW, EDMONDS, WA 98026-3223
(425) 742-2218
(425) 742-8115
Mailing address
6701 139TH PL SW, EDMONDS, WA 98026-3223
(425) 742-2218
(425) 742-8115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39835
WA
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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