Organization
G. DENNIS LEAKS, OD LTD
Active
Other names
George D. Leaks OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE DENNIS LEAKS O.D. (DOCTOR)
(775) 727-8300
Entity
Organization
Contact information
Practice address
2120 E CALVADA BLVD, PAHRUMP, NV 89048-5805
(775) 727-8300
(775) 727-1221
Mailing address
2120 E CALVADA BLVD, PAHRUMP, NV 89048-5805
(775) 727-8300
(775) 727-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD224
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002512000
—
NV
Enumeration date
10/22/2012
Last updated
10/22/2012
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