| Doctor Name: | DR. LELAND P WERNER |
| NPI Number: | 1174596894 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 20A6933 |
| Business Practice Address: | 1455 Ewing Rd Arroyo Grande, CA - 934205911 |
| Business Phone Number: | 8054893967 |
| Business Fax Number: | |
| Mailing Address: | Meddac, Cmr 437 Box 1392 APO |
| State: | AE |
| Postal Code: | 09267 |
| Phone Number: | 8054893967 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2006 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207QA0505X |
| License Number: | 20A6933 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Family Medicine |
| Taxonomy Specialization: | Adult Medicine |
| Taxonomy Definition: | |