Provider Demographics
NPI:1871571257
Name:FRANCIS, LEON R (MD)
Entity type:Individual
Prefix:MR
First Name:LEON
Middle Name:R
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:134 W THIRD STREET
Mailing Address - Street 2:PO BOX G
Mailing Address - City:MIFFLINVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18631
Mailing Address - Country:US
Mailing Address - Phone:570-752-4504
Mailing Address - Fax:570-752-2430
Practice Address - Street 1:134 W 3RD ST
Practice Address - Street 2:POB G
Practice Address - City:MIFFLINVILLE
Practice Address - State:PA
Practice Address - Zip Code:18631
Practice Address - Country:US
Practice Address - Phone:570-752-4504
Practice Address - Fax:570-752-2430
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2011-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD039385L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009522200001Medicaid
PA20066249OtherAMERIHEALTH MERCY
PA6037OtherFIRST PRIORITY HEALTH
PA1659351OtherAETNA
PA18013OtherGEISINGER HEALTH PLAN
PA000075179OtherHIGHMARK BLUE SHIELD
PA50071573OtherCAPTIAL BLUE CROSS
PA75179WDBMedicare PIN