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Contact Information

RYAN W LEONARD, DO
2965 W 3500 S
WEST VALLEY CITY, UT84119-3602
 Phone: 801-965-3600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RYAN W LEONARD · (Male)

NPI Number 1649460163
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/31/2007
Last updated 06/29/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101015940
  • UT License # 10361256-1204
  • WA License # OP 60077459
  • WA Medicaid 1649460163
  • WA Other 0250118 LABOR & INDUSTRIES
Hospital affiliation(s)
  • JORDAN VALLEY MEDICAL CENTER - (Acute Care)
    3580 WEST 9000 SOUTH
    WEST JORDAN, UT 84088
  • ST MARKS HOSPITAL - (Acute Care)
    1200 EAST 3900 SOUTH
    SALT LAKE CITY, UT 84124
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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