Individual
BRUCE LEONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
PO BOX 2959, ASHEVILLE, NC 28802-2959
(828) 693-0294
Mailing address
218 S HERLONG AVE, ROCK HILL, SC 29732-1158
(803) 327-2828
(803) 329-1173
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15873
SC
2085R0202X
Diagnostic Radiology Physician
Primary
9501315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2363
—
SC
Enumeration date
07/10/2006
Last updated
09/24/2024
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