Organization
LEONARD A. REYNOLDS, DPM
Active
Other names
Family Foot Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONARD A. REYNOLDS DPM (PHYSICIAN)
(304) 233-0630
Entity
Organization
Contact information
Practice address
1025 MAIN ST, SUITE 602, WHEELING, WV 26003-2726
(304) 233-0630
(304) 233-0632
Mailing address
PO BOX 2102, WHEELING, WV 26003-0222
(304) 233-0630
(304) 233-0632
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
0271
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001710768
MOUNTAIN STATE BC/BS
WV
Enumeration date
10/26/2007
Last updated
07/01/2008
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