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
Update your record
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