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Individual

JAMES EDWARD LEEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1135 JADWIN AVE, RICHLAND, WA 99352-3434
(509) 942-3300
(509) 946-1868
Mailing address
3900 S ZINTEL WAY, KENNEWICK, WA 99337-5092
(509) 942-3627
(509) 942-2268

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00019854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0304494
L&I NUMBER
WA
05
1811909005
WA
Enumeration date
08/13/2006
Last updated
09/12/2013
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