MARK H LEQUIRE, MD, Diagnostic Radiology MONTGOMERY, AL

Contact Information

MARK H LEQUIRE, MD

2055 NORMANDIE DR
SUITE 108
MONTGOMERY, AL 36111-2732

Phone: 334-288-4624
Fax: 334-280-3628
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for MARK H LEQUIRE · (Male)

NPI Number	`1336133735`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/31/2005
Last updated	11/02/2011 - About 15 years ago
Sole proprietor ¹	Yes
Identifiers	AL License # 00013481 FL License # ME89827 NC License # 0000-39011 OH License # 35-07-9272-L SC License # 20761 TN License # 34736 TX License # H3097 AL Medicaid 009922335 AL Medicaid 009928435 AL Medicaid 009930805 AL Medicaid 009951085 AL Medicaid 009971800 AL Medicaid 009971820 AL Medicaid 009971830 AL Medicaid 009972715 AL Medicaid 009973725 AL Medicaid 051551047 AL Medicaid 107037 AL Medicaid 107038 AL Medicaid 108071 AL Medicaid 108246 FL Medicaid 270021200 AL Other 000058866 IDTF AL Other 000058867 IDTF AL Other 051504364 IDTF
Hospital affiliation(s)	BAPTIST MEDICAL CENTER EAST - (Acute Care) 400 TAYLOR ROAD MONTGOMERY, AL 36117 BAPTIST MEDICAL CENTER SOUTH - (Acute Care) 2105 EAST SOUTH BOULEVARD MONTGOMERY, AL 36116 EAST ALABAMA MEDICAL CENTER AND SNF - (Acute Care) 2000 PEPPERELL PARKWAY OPELIKA, AL 36801 PRATTVILLE BAPTIST HOSPITAL - (Acute Care) 124 S MEMORIAL DR PRATTVILLE, AL 36067 VAUGHAN REG MED CENTER PARKWAY CAMPUS - (Acute Care) 1015 MEDICAL CENTER PARKWAY SELMA, AL 36701

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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