Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | A158526 | CA |
NPI | 1013337641 |
---|---|
Provider Name | Dr. Robert Joseph Leonard |
First Address | Apple Valley, CA 92307 |
Second Address | Apple Valley, CA 92307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2014 |
Last Update Date | 16/11/2020 |