Individual
DR. LESLIE ST. ROYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2901 MYSTIC VIEW PL, BURBANK, CA 91504-1848
(818) 606-7540
Mailing address
2901 MYSTIC VIEW PL, BURBANK, CA 91504-1848
(818) 606-7540
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
2011-01713
NC
2085R0001X
Radiation Oncology Physician
62298
MN
2085R0001X
Radiation Oncology Physician
Primary
G44161
CA
Other
Enumeration date
09/20/2006
Last updated
01/23/2021
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