Individual
MR. BRUCE PATRICK DELEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
KANIA CLINIC 3000 W KENNEWICK RD., KENNEWICK, WA 99301
(509) 543-9300
Mailing address
2319 FRAZIER DR, WALLA WALLA, WA 99362-1518
(509) 520-1852
(509) 529-9924
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004413
WA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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