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Individual

LEONARDO MONTUYA ZARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
201 COX BLVD, GOLDSBORO, NC 27534-9479
(919) 735-7580
(919) 735-1475
Mailing address
201 COX BLVD, GOLDSBORO, NC 27534-9479
(919) 735-7580
(919) 735-1475

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200100495
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
89128XE
NC
Enumeration date
09/08/2006
Last updated
08/09/2012
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