Individual
ROBERT G LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1561 W 7000 S, SUITE 102, WEST JORDAN, UT 84084-3556
(801) 568-9895
(801) 352-0400
Mailing address
1561 W 7000 S, SUITE 102, WEST JORDAN, UT 84084-3556
(801) 568-9895
(801) 352-0400
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
116092-5401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
841375719001
—
UT
Enumeration date
07/13/2006
Last updated
11/19/2012
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