Individual
DR. LEONARD HERBERT OTWORTH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2001 SCIOTO TRL STE 300, PORTSMOUTH, OH 45662-2845
(740) 353-6390
(740) 353-6290
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012427
OH
Other
Enumeration date
05/07/2015
Last updated
11/15/2018
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