Individual
DR. GEORGE DENNIS LEAKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
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
01
—
NV2986
BCBS
NV
Enumeration date
09/26/2005
Last updated
03/13/2008
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