Dr. Stephen David Leonard, MD
in Boise, ID. Individual provider (NPI-1).
NPI number1285796383
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1285796383
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephen David Leonard
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 14, 2006
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | M-12611 | ID | Yes | |
| 2083A0100X | Preventive Medicine, Aerospace Medicine | 038288 | GA | |
| 208600000X | Surgery | 038288 | GA |
Practice location
3815 W Rickenbacker StSuite 213
Boise, ID 83705
Phone 208-901-4493 · Fax 208-917-8605
Mailing address
3815 W Rickenbacker StSuite 213
Boise, ID 83705
Phone 208-901-4493 · Fax 208-917-8605
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