Individual
LEONARDO VILLARREAL AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
U6598
TX
208M00000X
Hospitalist Physician
Primary
33629
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2019
Last updated
07/02/2024
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