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Contact Information

BRUCE N LEISTIKOW, MD
1 SHIELDS AVE
DAVIS, CA95616-5270
 Phone: 530-752-1011
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for BRUCE N LEISTIKOW · (Male)

NPI # 1265449169
Status Active
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 02/15/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G80992
Hospital affiliation(s) Not Available
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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