Provider Demographics
NPI:1053682559
Name:LEIFER, WILLIAM NEIL (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NEIL
Last Name:LEIFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9500 SW JORDAN RD
Mailing Address - Street 2:
Mailing Address - City:WAKARUSA
Mailing Address - State:KS
Mailing Address - Zip Code:66546-9324
Mailing Address - Country:US
Mailing Address - Phone:785-836-2531
Mailing Address - Fax:866-871-7839
Practice Address - Street 1:9500 SW JORDAN RD
Practice Address - Street 2:
Practice Address - City:WAKARUSA
Practice Address - State:KS
Practice Address - Zip Code:66546-9324
Practice Address - Country:US
Practice Address - Phone:785-836-2531
Practice Address - Fax:866-871-7839
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-16
Last Update Date:2012-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSBL8936948207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology