Individual provider · Type 1 NPI
Roger L. Leonard, RN
Health Service Clinic/Center · Santo Domingo, NM
NPI number
1780835504
Active
Practice location
#85 West Hwy 22
Santo Domingo, NM 87052
Mailing address
PO Box 340
Santa Fe, NM 87052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | R54222 (NM) |
Health Service Clinic/Center: Definition to come...
About NPI 1780835504
Roger L. Leonard, RN's National Provider Identifier is 1780835504, issued on Oct 10, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Santo Domingo, NM. The record was last updated on Jan 13, 2014.