PETER J LEYZAC

LONGVIEW, WA
NPI1033451968
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WA  AP60560078)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0024170733)
Enumeration Date2013-03-18
Last Update Date2018-03-17
Business Address
PETER J LEYZAC CRNA
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-414-2000
Mailing Address
PETER J LEYZAC CRNA
PO BOX 17978
RICHMOND, VA 23226-7978
Phone number: 804-288-4453