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Individual

JOSEPH R. LEITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8770 OHIO RIVER RD, WHEELERSBURG, OH 45694-1918
(740) 574-9090
(740) 356-4180
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8681
(740) 353-7900

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-083254
OH
207X00000X
Orthopaedic Surgery Physician
40139
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000501050
ANTHEM
01
205145374027
CARESOURCE
05
2636893
OH
01
40139
KENTUCKY MEDICAL LICENSE
KY
01
505145374-00
BWC
OH
01
613050500
DEPARTMENT OF LABOR
KY
05
64126303
KY
01
7207794
AETNA
01
P00401805
RAILROAD MEDICARE
KY
Enumeration date
05/20/2006
Last updated
12/21/2020
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