Individual
RICHARD SCOTT LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A75261
CA
207Q00000X
Family Medicine Physician
Primary
M-11434
ID
207Q00000X
Family Medicine Physician
MD60249816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972562841
REGENCE BLUESHIELD
ID
05
—
1972562841
—
ID
05
—
2015003
—
WA
01
—
31254
LABOR & INDUSTRIES
WA
01
—
78909
BC/ID
ID
01
—
P01032049
RR MEDICARE
ID
Enumeration date
03/20/2006
Last updated
11/30/2021
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