Individual
ROBERT BRUCE LEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 44122-5928
(216) 831-7855
(216) 831-5320
Mailing address
23250 MERCANTILE RD, SUITE 100, BEACHWOOD, OH 44122-5928
(216) 831-7855
(216) 831-5320
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35060491
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0934056
—
OH
Enumeration date
12/01/2006
Last updated
03/05/2012
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