Individual
ROBERT MICHAEL LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
61 CHARLES ST, DEADWOOD, SD 57732-1303
(605) 722-6101
(605) 719-6133
Mailing address
353 FAIRMONT BLVD, ATTEN MSS, RAPID CITY, SD 57701-7375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0384
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0384
STATE LICENSE
SD
Enumeration date
05/16/2006
Last updated
01/22/2020
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