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Individual

LESLIE MOONEY TREECE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34866
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1517710
TN
01
1538173471
COOKEVILLE PEDIATRIC ASSOCIATES
TN
01
4100526
BCBS
TN
05
5440738
TN
Enumeration date
03/20/2006
Last updated
03/22/2011
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