LESLIE A DERVAN — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, WA)
LESLIE A DERVAN — Medicare Enrolled Provider (PRACTITIONER - PEDIATRIC MEDICINE, WA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: LESLIE A DERVAN; Type: Individual; NPI: 1003077025.
| Name | LESLIE A DERVAN |
|---|---|
| Type | Individual |
| NPI | 1003077025 |
| Provider type | PRACTITIONER - PEDIATRIC MEDICINE |
| State | WA |
| Enrollment ID | I20150105001706 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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