Individual
MR. DOUGLAS ANDREW LEONHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
800 IRVING AVE, TEAM RED PRIMARY CARE, SYRACUSE, NY 13210-2716
(315) 428-4828
(315) 425-4827
Mailing address
800 IRVING AVE, TEAM RED PRIMARY CARE, SYRACUSE, NY 13210-2716
(315) 428-4828
(315) 425-4827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
009044
NY
Other
Enumeration date
07/05/2006
Last updated
03/23/2010
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