person
Mr. Leo M Canonizado, PA-C
Medical Physician Assistant in Port Orchard, Washington
NPI 1518943984

Leo M Canonizado is a Medical Physician Assistant based in Bremerton, WA and is specialized in Medical. Leo M Canonizado practices in Port Orchard, WA and has the professional credentials of PA-C. The NPI Number for Leo M Canonizado is 1518943984 and holds a License No. (Washington).

The current practice location address for Leo M Canonizado is 450 So. Kitsap Blvd., Port Orchard, WA and can be reached out via phone at 360-744-6275 and via fax at 360-744-6188.

Location: 450 So. Kitsap Blvd., Port Orchard, WA, 98310
person
Provider Profile Details
NPI Number
1518943984
Provider Name
Leo M Canonizado
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
450 So. Kitsap Blvd., Port Orchard, WA, 98310
Phone Number
360-744-6275
Fax Number
360-744-6188
Provider Enumeration Date
12/19/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
450 So. Kitsap Blvd.
City
State
Zip
98366
Phone Number
360-744-6275
Fax Number
360-744-6188
person
Provider Business Mailing Address Details
Address
450 So. Kitsap Blvd.
City
State
Zip
98366
Phone Number
360-744-6275
Fax Number
360-744-6188
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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