Robert Michael Leonard PA-C

NPI 1669424180 - Physician Assistant - 363AM0700X

NPI Details
NPI 1669424180
Gender Male
Enumeration Date 05/16/2006
Last Updated 01/23/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
61 CHARLES ST
DEADWOOD SD, 57732-1303, US
Phone (605) 722-6101
Fax (605) 719-6133
Business Location
353 FAIRMONT BLVD
ATTEN MSS
RAPID CITY SD, 57701-7375, US
Phone
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State South Dakota
License Number 0384
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According to our database, Robert Michael Leonard PA-C NPI is 1669424180, taxonomy code is 363AM0700X and license number is 0384, license state is located at South Dakota. Robert Michael Leonard PA-C physically located at 61 Charles St, Deadwood SD, 57732-1303. NPI Number Robert Michael Leonard PA-C has the Individual type.

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1669424180 NPI number is provided on an as is basis without warranty of any kind. 1669424180 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Michael Leonard PA-C are for informational purposes only.