NPI 1023493822

Robert Leatherbury, CCP

Practitioner Perfusionist Fairfield, CA

Practice location

Address: 514 Flora Springs CT, Fairfield, CA 94534-6688
Phone: (213) 308-7759

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X

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Registry record

NPI: 1023493822
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2015
Record last updated: 22 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.