Individual
DR. EFREN B LEONIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE BRADDOCK ROAD AVE, SUITE A, MT PLEASANT, PA 15666
(724) 547-4566
(724) 547-5811
Mailing address
ONE BRADDOCK ROAD AVE, SUITE A, MT PLEASANT, PA 15666
(724) 547-4566
(724) 547-5811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD420007
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001639333
KEYSTONE HEALTH PLAN WEST
PA
05
—
1010347300001
—
PA
01
—
LE1639333
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/20/2006
Last updated
07/08/2007
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