Provider Demographics
NPI:1437360328
Name:ATTERBURY, LESLIE HENRY III (MD)
Entity Type:Individual
Prefix:
First Name:LESLIE
Middle Name:HENRY
Last Name:ATTERBURY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 N FOXGLOVE DR NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98332-9044
Mailing Address - Country:US
Mailing Address - Phone:253-238-8776
Mailing Address - Fax:
Practice Address - Street 1:4501 N FOXGLOVE DR NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98332-9044
Practice Address - Country:US
Practice Address - Phone:253-238-8776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76943207L00000X
WAMD60028234207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology