Individual
DR. LEON F BALTRUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9080
(865) 544-6866
Mailing address
PO BOX 52450, KNOXVILLE, TN 37920-1511
(800) 238-0097
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
44214
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME 75942
FL
Other
Enumeration date
05/20/2006
Last updated
01/28/2009
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