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Individual

DR. LEONARD A REYNOLDS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
53 14TH ST, SUITE 300, WHEELING, WV 26003-3433
(304) 233-0630
(304) 233-0632
Mailing address
PO BOX 454, WELLSBURG, WV 26070-0454
(304) 233-0630
(304) 233-0632

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0271
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0099792000
WV
05
0117911
OH
01
480026065
RAILROAD MEDICARE
WV
Enumeration date
11/28/2006
Last updated
10/28/2011
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