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Individual

DR. LESLIE BRONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1012 OBERLIN ROAD,, SUITE 300, RALEIGH, NC 27605-1135
(919) 787-6131
Mailing address
3125 POPLARWOOD CT., SUITE 203, RALEIGH, NC 27604-6445

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
89127
NC
2084P0800X
Psychiatry Physician
2004-01372
NC

Other

Enumeration date
10/23/2006
Last updated
03/18/2009
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