Individual
LEON G SHINGLEDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
8101 HINSON FARM RD, SUITE 301, ALEXANDRIA, VA 22306-3403
(703) 765-4321
Mailing address
8101 HINSON FARM RD, SUITE 301, ALEXANDRIA, VA 22306-3403
(703) 765-4321
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103001046
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
200007
LA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC002084L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9300619
—
VA
Enumeration date
05/25/2006
Last updated
04/08/2010
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