Individual
MR. LEONARDO LEONOR LEONIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 MT HOPE AVE, STE 640, BANGOR, ME 04401
(207) 947-6739
(207) 942-3554
Mailing address
700 MT HOPE AVE, STE 640, BANGOR, ME 04401
(207) 947-6739
(207) 942-3554
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
007119
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000037M
ANTHEM
ME
01
—
1042254
AETNA
ME
01
—
M7640C
CIGNA
ME
Enumeration date
06/28/2006
Last updated
07/08/2007
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