Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 12297 | AL |
NPI | 1023087723 |
---|---|
Provider Name | Dr. Mark A Leberte |
First Address | Huntsville, AL 25801 |
Second Address | Huntsville, AL 25801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 21/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000008542 | (05) | AL |
0910165 | UNITED HEALTHCARE (01) | AL |
200042033 | RAILROAD MEDICARE (01) | AL |
4080986 | AETNA (01) | AL |
51008542 | BCBS (01) | AL |
E45284 | (02) |