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Individual

DR. RICARDO DE LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
557 BROOKDALE DR, STATESVILLE, NC 28677-4107
(704) 873-5661
Mailing address
108 S MAIN ST, DAVIDSON, NC 28036-8096
(704) 997-5525
(704) 997-5531

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
099138
OH
207R00000X
Internal Medicine Physician
Primary
2012-01869
NC

Other

Enumeration date
09/08/2009
Last updated
04/20/2015
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