Individual provider · Type 1 NPI

Leith States, MD

Student in an Organized Health Care Education/Training Program · Jacksonville, FL

NPI number 1992016158 Active

Practice location

2005 Knight Lane Bldg H Attn: Medical Staff Services, Navy Medicine Support Command
Jacksonville, FL 32212-0140

Call (619) 532-6400 Map

Mailing address

7665 Palmilla Dr Apt 5207
San Diego, CA 92122-5032

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Another provider at this address

Other student in an organized health care education/training program providers in Jacksonville

See all in Jacksonville →

About NPI 1992016158

Leith States, MD's National Provider Identifier is 1992016158, issued on Jun 23, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jacksonville, FL. The record was last updated on Jun 23, 2010.