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Individual

MR. LEONARD J. VANDERBOSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1003 E TRENT AVE, STE 150, SPOKANE, WA 99202-2180
(509) 688-6733
(509) 688-6777
Mailing address
PO BOX 2808, SPOKANE, WA 99220
(509) 688-6733
(509) 688-6777

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00010451
WA

Other

Enumeration date
11/09/2006
Last updated
12/09/2007
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