Individual
DR. LEON N COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
(540) 857-5306
Mailing address
2331 FRANKLIN RD SW, ROANOKE, VA 24014-1111
(540) 510-6200
(540) 857-5306
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101260585
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942374079
UNITED HEALTHCARE
VA
05
—
1942374079
—
VA
Enumeration date
11/20/2006
Last updated
04/20/2018
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