Individual
DR. BRUCE W LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
GRANT MEMORIAL DRIVE, PIDC BUILDING - SUITE 102, PETERSBURG, WV 26847-1716
(304) 257-2527
Mailing address
PO BOX 158, PETERSBURG, WV 26847-0158
(304) 257-2527
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14236
WV
Other
Enumeration date
09/13/2006
Last updated
03/11/2010
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