| Randall Scott Leonard | |
|
9213 Avondale Rd Parkville MD 21234-3225 | |
| (443) 415-4583 | |
| Not Available |
| Full Name | Randall Scott Leonard |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9213 Avondale Rd, Parkville, Maryland |
| Authorized Official Name and Position | Randall Leonard (OWNER) |
| Authorized Official Contact | 4434154583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Scott Leonard 9213 Avondale Rd Parkville MD 21234-3225 Ph: (443) 415-4583 | Randall Scott Leonard 9213 Avondale Rd Parkville MD 21234-3225 Ph: (443) 415-4583 |
| NPI Number | 1285498246 |
|---|---|
| Provider Enumeration Date | 02/09/2024 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285498246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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