Individual
LEVI C LEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, MENTAL HEALTH CLINIC, TEMPLE, TX 76508-0001
(254) 724-2585
Mailing address
235 E STATE ST, SAINT CROIX FALLS, WI 54024-4117
(715) 483-3221
(715) 483-0507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
54491
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740449180
—
MN
05
—
1740449180
—
WI
Enumeration date
06/02/2008
Last updated
08/10/2010
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