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Individual

JOHN W. LEROY

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4017
(301) 855-1012
Mailing address
7920 MOUNT HARMONY LN, OWINGS, MD 20736-3404
(410) 257-0439

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0002317
MD

Other

Enumeration date
06/05/2006
Last updated
07/08/2007
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