Provider Demographics
NPI:1477856177
Name:LECKIE, PETER ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALEXANDER
Last Name:LECKIE
Suffix:
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 1:3-271 INGRAM STREET
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:BRITISH CLUMBIA
Mailing Address - Zip Code:V9L 1P3
Mailing Address - Country:CA
Mailing Address - Phone:250-746-7181
Mailing Address - Fax:250-746-4202
Practice Address - Street 1:3-271 INGRAM STREET
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:BRITISH CLUMBIA
Practice Address - Zip Code:V9L 1P3
Practice Address - Country:CA
Practice Address - Phone:250-746-7181
Practice Address - Fax:250-746-4202
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-19
Last Update Date:2010-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ9672208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery