DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LEO M CANONIZADO, PA-C

Active

MR. LEO M CANONIZADO, PA-C is a Medical Physician Assistant healthcare provider located in PORT ORCHARD, Washington. NPI 1518943984 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · PORT ORCHARD, WA

Registration Details

NPI Number
1518943984
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2005 (20.698258670577 yrs)
Last Updated
Mar 24, 2009

Practice Information

Address
450 SO. KITSAP BLVD.
SUITE 100
PORT ORCHARD, WA, 98366
Browse WA providers · Browse ZIP 98366
Phone
3607446275
Fax
3607446188
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in PORT ORCHARD, WA

Name Credential NPI
MS. BARBARA JEAN HOLLOWAY PA-C 1568647626
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.