Individual
BENJAMIN CURTIS LESLIE
Active
Individual
BENJAMIN CURTIS LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2830
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2830
WV LICENSE
WV
05
—
3910007251
—
WV
Enumeration date
05/07/2012
Last updated
12/01/2016
Update your record
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