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Organization

INDEPENDENT MEDICAL CONSULTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEREK JAMES LEINENBACH M.D. (OWNER)
(971) 226-0118
Entity
Organization

Contact information

Practice address
2913 SW 7TH AVE, BATTLE GROUND, WA 98604-4868
(971) 226-0118
(360) 369-4932
Mailing address
2913 SW 7TH AVE, BATTLE GROUND, WA 98604-4868
(971) 226-0118
(360) 369-4932

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
MD153000
OR
202C00000X
Independent Medical Examiner Physician
MD60348035
WA
207R00000X
Internal Medicine Physician
Primary
MD153000
OR
207R00000X
Internal Medicine Physician
MD60348035
WA
208D00000X
General Practice Physician
MD153000
OR
208D00000X
General Practice Physician
MD60348035
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500643083
OR
Enumeration date
05/22/2013
Last updated
05/22/2013
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