Leach, David Bryan

Leach, David Bryan is an individual health care provider with primary practice located at 2500 W A St Suite 202, Moscow ID 83843-6000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Leach, David Bryan can be contacted via phone (208) 882-4662.

Contact Information

Primary practice address
2500 W A St Suite 202 Moscow ID 83843-6000
Phone: (208) 882-4662
Fax: (208) 883-6557
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M8044 Idaho

Profile Details

NPI number 1043379944
LBN Legal business name Leach, David Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Mar 3rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043379944 NPPES
Idaho MEDICAID 805779000

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