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Ethan Richard Leonard, MD
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1124721824

Ethan Richard Leonard is a Student in an Organized Health Care Education/Training Program based in San Antonio, NC. Ethan Richard Leonard practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Ethan Richard Leonard is 1124721824 and holds a License No. (North Carolina).

The current practice location address for Ethan Richard Leonard is One Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-4498.

Location: One Medical Center Blvd, Winston Salem, NC, 78229-5023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124721824
Provider Name
Ethan Richard Leonard
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Medical Center Blvd, Winston Salem, NC, 78229-5023
Phone Number
336-716-4498
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
One Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-4498
Fax Number
person
Provider Business Mailing Address Details
Address
One Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-4498
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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