Individual
DR. ALBERT R. LEONARDO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1235 E CHEROKEE ST, SPRINGFIELD, MO 65804-2203
(417) 820-2600
(417) 820-2100
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2002030214
MO
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2002030214
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205984602
—
MO
Enumeration date
12/26/2006
Last updated
05/08/2012
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