Provider Demographics
NPI:1487609236
Name:LEFLER, DAVID M JR (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:LEFLER
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:1120 HUFFMAN ROAD
Mailing Address - Street 2:24-691
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515
Mailing Address - Country:US
Mailing Address - Phone:907-770-0412
Mailing Address - Fax:807-770-0435
Practice Address - Street 1:1120 HUFFMAN ROAD
Practice Address - Street 2:24-691
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515
Practice Address - Country:US
Practice Address - Phone:907-770-0412
Practice Address - Fax:807-770-0435
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2022-08-14
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Provider Licenses
StateLicense IDTaxonomies
AK7137207RN0300X
HIDOS-1270207RN0300X
VA0102201420207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5108807OtherMAMSI
NC89066J2Medicaid
VA010131545Medicaid
VA171779OtherANTHEM
5923388OtherCIGNA
VA010131545Medicaid
5923388OtherCIGNA
H76857Medicare UPIN