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Organization

DANIEL A LEEDY, MD, PC

Active
Parent organization
DANIEL A LEEDY, MD, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
DANIEL A LEEDY, MD, PC
Authorized official
DANIEL A LEEDY MD (ASSOCIATE)
(503) 656-0601
Entity
Organization

Contact information

Practice address
1508 DIVISION ST, SUITE 115, OREGON CITY, OR 97045-1582
(503) 656-0601
(503) 656-1389
Mailing address
1508 DIVISION ST, SUITE 115, OREGON CITY, OR 97045-1582
(503) 656-0601
(503) 656-1389

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD17211
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084509
OR
Enumeration date
01/09/2008
Last updated
01/09/2008
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