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MR. LESLIE HAVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 E HIGH ST, ANESTHESIA DEPT, POTTSTOWN, PA 19464-5008
(610) 487-5116
Mailing address
561 MUSKET CT, COLLEGEVILLE, PA 19426-1878
(610) 487-5116
(610) 409-1952

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN600066
PA

Other

Enumeration date
03/19/2015
Last updated
03/19/2015
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