JUAN JOSE LEON

POCATELLO, ID
NPI1801851589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207LC0200X Anesthesiology, Critical Care Medicine
(Licence: ID  tl3685)
Enumeration Date2006-04-18
Last Update Date2022-11-03
Business Address
JUAN JOSE LEON MD
777 HOSPITAL WAY PORTNEUF HEART AND VASCULAR
POCATELLO, ID 83201
Phone number: 208-239-2500
Mailing Address
JUAN JOSE LEON MD
777 HOSPITAL WAY PORTNEUF HEART AND VASCULAR
POCATELLO, ID 83201
Phone number: 208-239-2500
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