Individual
DR. EFREN L LEONIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE BRADDOCK AVE, SUITE A, MT PLEASANT, PA 15666
(724) 547-4565
(724) 547-5811
Mailing address
ONE BRADDOCK AVE, SUITE A, MT PLEASANT, PA 15666
(724) 547-4565
(724) 547-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034778L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005893540003
—
PA
01
—
0094320
KEYSTONE HEALTH PLAN WEST
PA
01
—
0360813
UMWA
PA
01
—
094320
HIGHMARK
PA
01
—
1004398
GATEWAY HEALTH PLAN
PA
01
—
474504
AETNA
PA
01
—
60472
UNISON HEALTH PLAN
PA
Enumeration date
09/15/2006
Last updated
07/08/2007
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