Individual
DONALD JOEL LEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 RURAL AVE, WILLIAMSPORT, PA 17701-3109
(570) 321-2321
Mailing address
224 PENN AVE STE E, PITTSBURGH, PA 15221-2154
(412) 247-4500
(412) 247-4550
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD030006E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011421630002
—
PA
01
—
475269
HIGHMARK/BLUE SHIELD
PA
01
—
809443
FIRST PRIORITY/HMO OF NE
PA
Enumeration date
08/16/2006
Last updated
03/17/2008
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