| Doctor Name: | ANTHONY GEORGE LEONARD |
| NPI Number: | 1235228388 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ARNP-C |
| License Number: | A-092860 |
| Business Practice Address: | 29 Black Coal Dr Fort Washakie, WY - 825140128 |
| Business Phone Number: | 3073355964 |
| Business Fax Number: | 3073327464 |
| Mailing Address: | Po Box 128, FORT WASHAKIE |
| State: | WY |
| Postal Code: | 825140128 |
| Phone Number: | 3073355964 |
| Fax Number: | 3073327464 |
| NPI Enumeration Date: | 10/12/2006 |
| NPI Last Update Date: | 04/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | A-092860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |