Individual
MR. JOSEPH JODY LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4801 VETERANS DRIVE, ST. CLOUD VETERANS MEDICAL CENTER, ST. CLOUD, MN 56303-2099
(320) 252-1670
Mailing address
601 LYNN CIR, MARYVILLE, TN 37803-6241
(865) 977-4126
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
851
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
851
PHYSICIAN ASSISTANT LICEN
TN
Enumeration date
11/21/2006
Last updated
07/08/2007
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