Individual
DR. LEON M GRIGORYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 LAYFAIR DR, SUITE 100, FLOWOOD, MS 39232-9717
(601) 936-8801
(601) 936-8808
Mailing address
1 LAYFAIR DR, SUITE 100, FLOWOOD, MS 39232-9717
(601) 936-8801
(601) 936-8808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
20728
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
407739
WINDSOR MEDICARE
MS
Enumeration date
09/27/2006
Last updated
04/08/2010
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