Organization
JOSEPH S. LEITHOLD, M.D., LLC
Active
Other names
Woodcroft Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH SCOTT LEITHOLD M.D. (PRESIDENT)
(937) 427-9202
Entity
Organization
Contact information
Practice address
4235 INDIAN RIPPLE RD, SUITE 210, DAYTON, OH 45440-3284
(937) 427-9202
(937) 427-9671
Mailing address
4235 INDIAN RIPPLE RD, SUITE 210, DAYTON, OH 45440-3284
(937) 427-9202
(937) 427-9671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35070285
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0248397
—
OH
01
—
080162406
MEDICARE RAILROAD
OH
01
—
DB1884
MEDICARE RR UPIN
OH
Enumeration date
11/14/2007
Last updated
06/10/2008
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