Individual
SAMUEL GORDON LEFTENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14701 179TH AVE SE, MONROE, WA 98272-1108
(425) 353-3788
(425) 353-8041
Mailing address
PO BOX 94061, SEATTLE, WA 98124-9461
(425) 353-3788
(425) 353-8041
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G51699
CA
207L00000X
Anesthesiology Physician
Primary
MD00040821
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173197
L & I
WA
05
—
813564
—
WA
Enumeration date
10/23/2006
Last updated
03/07/2023
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