Frederick E Leickly MD

NPI 1679682710 - Pediatrics - 2080P0201X

NPI Details
NPI 1679682710
Gender Male
Enumeration Date 08/30/2006
Last Updated 07/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
705 RILEY HOSPITAL DR
ROC 4270
INDIANAPOLIS IN, 46202-5109, US
Phone (317) 274-7208
Fax (317) 274-3442
Business Location
PO BOX 1026
INDIANAPOLIS IN, 46206-1026, US
Phone (317) 274-1201
Fax (317) 278-9905
Toxanomy
Taxonomy Code 2080P0201X
License State Indiana
License Number 01042436
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According to our database, Frederick E Leickly MD NPI is 1679682710, taxonomy code is 2080P0201X and license number is 01042436, license state is located at Indiana. Frederick E Leickly MD physically located at 705 Riley Hospital Dr, Indianapolis IN, 46202-5109. NPI Number Frederick E Leickly MD has the Individual type.

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1679682710 NPI number is provided on an as is basis without warranty of any kind. 1679682710 is maintained by the National Plan & Provider Enumeration System. The contents of Frederick E Leickly MD are for informational purposes only.