Doctor Name: | REID JOSEPH LEINART |
NPI Number: | 1023416047 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.S. |
License Number: | 95001252 |
Business Practice Address: | 300 Pasteur Dr Stanford, CA - 943052200 |
Business Phone Number: | 6507236459 |
Business Fax Number: | |
Mailing Address: | 300 Pasteur Dr, STANFORD |
State: | CA |
Postal Code: | 943052200 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/08/2014 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 95001252 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |