Individual
LESLIE R BORNFLETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S 11TH AVE, SUITE 321, YAKIMA, WA 98902-3242
(509) 248-3954
(509) 248-3955
Mailing address
732 SUMMITVIEW AVE, #621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD00014255
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8119208
—
WA
Enumeration date
07/31/2006
Last updated
07/09/2007
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