Individual
DAVID LEON SOULSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309-1251
(304) 766-7515
(304) 766-7566
Mailing address
138 LESLIE PL, SCOTT DEPOT, WV 25560-8902
(304) 757-2476
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13599
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000503590
BCBS WEST VIRGINIA
WV
05
—
0097603000
—
WV
Enumeration date
08/15/2005
Last updated
05/29/2008
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