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Individual

RALPH ALBERT LEON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
46440 BENEDICT DRIVE, SUITE 107, STERLING, VA 20164-6602
(703) 450-1125
(703) 450-1145
Mailing address
224 D CORNWALL STREET NW, STE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233437
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05646278
VA
05
1891789459
VA
05
30016324280001
VA
01
P00005888
RR MEDICARE PIN
VA
Enumeration date
09/09/2005
Last updated
04/10/2024
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