Provider Demographics
NPI:1952722688
Name:LEFLER, DAVID (RT(R)(ARRT))
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:LEFLER
Suffix:
Gender:M
Credentials:RT(R)(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:936 VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04088-3016
Mailing Address - Country:US
Mailing Address - Phone:505-710-3885
Mailing Address - Fax:
Practice Address - Street 1:936 VALLEY RD
Practice Address - Street 2:
Practice Address - City:WATERFORD
Practice Address - State:ME
Practice Address - Zip Code:04088-3016
Practice Address - Country:US
Practice Address - Phone:505-710-3885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-24
Last Update Date:2013-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERT40005415247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist