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Individual

DR. GARY STEPHEN LEFFKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AD

Contact information

Practice address
1821 OLD DONATION PKWY, SUITE 10, VIRGINIA BEACH, VA 23454
(757) 481-4003
Mailing address
1821 OLD DONATION PKWY, SUITE 10, VIRGINIA BEACH, VA 23454

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
2201000097
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01016231
VA
Enumeration date
03/08/2007
Last updated
07/08/2007
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