Individual
DR. LEO ALFRED CARNEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
824 S DIAMOND ST, NAMPA, ID 83686-5960
(208) 606-0396
Mailing address
42010 VILLAGE CENTER PLZ STE 100, STONE RIDGE, VA 20105-3036
(703) 775-4999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0102205195
VA
207Q00000X
Family Medicine Physician
Primary
O-1851
ID
Other
Enumeration date
12/13/2005
Last updated
12/16/2024
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