institution
Leslie Canyon Family Medicine, P.s.
General Practice Physician in Richland, Washington
NPI 1538349030

Leslie Canyon Family Medicine, P.s. is a General Practice Physician based in Richland, WA. Leslie Canyon Family Medicine, P.s. practices in Richland, WA. The NPI Number for Leslie Canyon Family Medicine, P.s. is 1538349030 and holds a License No. WA00034155 (Washington).

The current practice location address for Leslie Canyon Family Medicine, P.s. is 705 Gage Blvd, Richland, WA and can be reached out via phone at 509-628-2331 and via fax at 509-628-0537.

Location: 705 Gage Blvd, Richland, WA, 99352-9701
institution
Provider Profile Details
NPI Number
1538349030
Provider Name
Leslie Canyon Family Medicine, P.s.
Credential
Provider Entity Type
Organization
Address
705 Gage Blvd, Richland, WA, 99352-9701
Phone Number
509-628-2331
Fax Number
509-628-0537
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7077993 05 WA
11151316 01 CAQH
institution
Provider Business Practice Location Address Details
Address
705 Gage Blvd
City
State
Zip
99352-9701
Phone Number
509-628-2331
Fax Number
509-628-0537
person
Provider Business Mailing Address Details
Address
705 Gage Blvd
City
State
Zip
99352-9701
Phone Number
509-628-2331
Fax Number
509-628-0537
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
WA00034155 (Washington)
Definition
Definition to come...
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