MEDICARE: DAVID G LEONARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35081242	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932288321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID G LEONARD MD

Provider Business Mailing Address
First Line	:	3001 HIGHLAND AVE STE E
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2315
Country	:	US
Telephone Number	:	513-961-8861
Fax Number	:	513-487-3770

Provider Business Practice Location Address
First Line	:	3001 HIGHLAND AVE STE E
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45219-2315
Country	:	US
Telephone Number	:	513-961-8861
Fax Number	:	513-487-3770

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	01/15/2020

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