Doctor Name: | MR. SIDNEY E. LEIGH |
NPI Number: | 1336356583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 12027 |
Business Practice Address: | 705 Ewald Ave Se Salem, OR - 973023403 |
Business Phone Number: | 5033780068 |
Business Fax Number: | 5033780069 |
Mailing Address: | 705 Ewald Ave Se, SALEM |
State: | OR |
Postal Code: | 973023403 |
Phone Number: | 5033780068 |
Fax Number: | 5033780069 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |