Thomas B Leecost
Foot & Ankle Surgery
409 W Broad St
Richmond
, Virginia 23220-4220
Thomas B Leecost
Foot & Ankle Surgery
409 W Broad St
Richmond
, Virginia 23220-4220
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Thomas B Leecost
- 409 W Broad St
- Richmond, VA
- Zip : 23220-4220
- Phone :
Second Address
- Thomas B Leecost
- 409 W Broad St
- Richmond, VA
- Zip : 23220-4220
- Phone : (804) 643-8667
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | 0103000319 | VA |
National Provider Identifier
| NPI | 1083773063 |
|---|---|
| Provider Name | Thomas B Leecost |
| First Address | Richmond, VA 23220-4220 |
| Second Address | Richmond, VA 23220-4220 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/12/2006 |
| Last Update Date | 21/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 009302221 | (05) | VA |
| T21791 | (02) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.