Individual
MS. JOANN MARIE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 N 8TH ST, BISMARCK, ND 58501-4445
(701) 222-6102
(701) 222-6150
Mailing address
500 N 8TH ST, BISMARCK, ND 58501-4445
(701) 222-6102
(701) 222-6150
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
10728
ND
2085R0001X
Radiation Oncology Physician
MD027824E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009113260006
—
PA
Enumeration date
03/14/2006
Last updated
03/26/2008
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