Provider Demographics
NPI:1417041849
Name:HARF, LEO S (MD)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:S
Last Name:HARF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4400 FLAMINGO AVE E.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687
Mailing Address - Country:US
Mailing Address - Phone:208-466-2222
Mailing Address - Fax:208-465-3441
Practice Address - Street 1:4400 FLAMINGO AVE E.
Practice Address - Street 2:SUITE 300
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687
Practice Address - Country:US
Practice Address - Phone:208-466-2222
Practice Address - Fax:208-465-3441
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IDM5002207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDJ3755OtherBLUE CROSS OF IDAHO
ID000010003548OtherREGENCE BLUE SHIELD OF ID
ID1118260Medicare ID - Type Unspecified
IDJ3755OtherBLUE CROSS OF IDAHO