Whalio Doctors

NPI 1093839003

Mark Michael Leyngold, MD

Practitioner Plastic Surgery Physician Meridian, ID

Practice location

Address
3015 E Goldstone Dr # 130, Meridian, ID 83642-1549
Phone
(208) 900-4673
Fax
(208) 266-5033

Registered specialties

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence ME116419 (FL)

Registry record

NPI
1093839003
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Mar 2007
Record last updated
10 Nov 2022

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.