Doctor Name: | DR. LEANDRO PASOS |
NPI Number: | 1003134941 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD 00023573 |
Business Practice Address: | 12707 30th Ave Ne Seattle, WA - 981254403 |
Business Phone Number: | 2063841866 |
Business Fax Number: | 2063674284 |
Mailing Address: | 1712 45th Ave Sw, SEATTLE |
State: | WA |
Postal Code: | 981161911 |
Phone Number: | 2069380884 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2010 |
NPI Last Update Date: | 05/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD 00023573 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |