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Individual

DR. RAYMOND LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
ROUTE 4 & 20 S. INTERSECTION, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23057
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012261
WV
Enumeration date
04/18/2007
Last updated
03/24/2010
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