Individual
CARL E LEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
M5434
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121411
CIGNA MEDICARE - RANI
ID
01
—
54346
BC ID - RANI
ID
05
—
8136269
—
WA
01
—
B1287
BC ID - PF
ID
01
—
D8728
BC ID - CDA
ID
01
—
P00093831
RR MEDICARE - RANI
ID
Enumeration date
08/11/2005
Last updated
04/08/2008
Update your record
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