Stephen Micheal Leary in Bend - Orthopedic
Stephen Micheal Leary - NPI 1548482672
Stephen Micheal Leary is a Orthopedic in Bend, Oregon. Stephen Micheal Leary practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Stephen Micheal Leary is 1548482672. The last update date is 2013-03-08.
Stephen Micheal Leary's current location address is 19570 Ball Butte Ct, Bend, Oregon. You can contact this provider via phone number 5413122252. The mailing address for Stephen Micheal Leary is 19570 Ball Butte Ct, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stephen Micheal Leary |
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Address | 19570 Ball Butte Ct, Bend, Oregon |
Phone Number | 5413122252 |
Fax Number | |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1548482672 |
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Provider Enumeration Date | 2007-05-02 |
Last Updated Date | 2013-03-08 |
Provider Mailing Address Detail
Address | 19570 Ball Butte Ct |
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City | Bend |
State | Oregon (OR) |
Post Code | 977029148 |
Phone Number | 5413122252 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | 4885 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
J6507-02 | OR | PACIFIC SOURCE PIN | |
840573000 | OR | BLUE CROSS PIN |
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What is the unique 10-digit identifier code assigned to Stephen Micheal Leary by the Centers for Medicare & Medicaid Services?
The Stephen Micheal Leary has been issued the NPI (National Provider Identifier) 1548482672 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Stephen Micheal Leary is geographically located?
The Stephen Micheal Leary is physically situated at the following location: 19570 Ball Butte Ct, Bend, OR, 977029148.
What is Stephen Micheal Leary's area of expertise and its corresponding taxonomy classification?
The Stephen Micheal Leary's field of specialization is Orthopedic, and it falls under the taxonomy code 2251X0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1548482672 to Stephen Micheal Leary?
The Centers for Medicare & Medicaid Services assigned the 1548482672 to Stephen Micheal Leary on 2007-05-02.
As of what date were the Stephen Micheal Leary's details last updated?
The information pertaining to the Stephen Micheal Leary, including its address, specialty, and other details, was most recently updated on 2013-03-08.
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