Individual
BRUCE ROBERT LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2501 M ST NW UNIT 210, WASHINGTON, DC 20037-1314
(504) 931-3484
(609) 225-5224
Mailing address
2501 M ST NW UNIT 210, WASHINGTON, DC 20037-1314
(504) 931-3484
(609) 225-5224
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
133449
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332127
—
LA
Enumeration date
07/24/2006
Last updated
05/28/2022
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