Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PP0204X | Pediatric Emergency Physician | 29072 | OK |
N | 208000000X | Pediatrician | 036.117501 | IL |
Y | 2080P0204X | Pediatric Emergency Doctor | 35-124268 | OH |
NPI | 1023156577 |
---|---|
Provider Name | Dr. Leslie Mcdaniel Dingeldein |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/02/2007 |
Last Update Date | 01/08/2014 |