Individual
DR. BYRD STUART LEAVELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
Mailing address
1139 E HIGH ST, CHARLOTTESVILLE, VA 22902-4856
(434) 817-8484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032293
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006009034
—
VA
Enumeration date
07/07/2005
Last updated
01/29/2009
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