Individual
DR. SHERWOOD P LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
454 MCDOWELL ST, WELCH, WV 24801-2029
(304) 436-8461
Mailing address
PO BOX 634712, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18472
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126368000
—
WV
Enumeration date
06/12/2006
Last updated
11/29/2007
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